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PROVIDER PROFILE · NPI 1073716445

Simil GalaM.D.

PRACTICEST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCISSee all providers at this practice →
CardiologyGreen Bay, WII
CROSS-REFERENCE

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QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$938
Payment records
38
By payment type
Food and Beverage$938
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 520044
Hospital
CCN 520075
Hospital
CCN 520097
Hospital
CCN 521310
Hospital
CCN 521358
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
16,250
Beneficiaries
—
Total drug cost
$2.9M
Distinct drugs
66
Brand share
25.7%
Top prescribed drugs
Atorvastatin Calcium1,847 claims
Metoprolol Succinate1,669 claims
Apixaban1,242 claims
Clopidogrel Bisulfate1,093 claims
Furosemide902 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,125
Unique beneficiaries
—
Total services
4,272
Distinct HCPCS
31
Medicare payment
$195K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 301 Cardiology providers in WI — top quintile (cohort median 1,490).
REFERRAL NETWORK

Where Simil Gala's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 42 inbound referrers · 77 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS189771
Nami Zarvan
Diagnostic Radiology · Green Bay, WI
90209
Timothy Enright
Diagnostic Radiology · Mequon, WI
54126
NPI 130699279754113
BIELKE, DENNIS5389
Tyler Bailey
Diagnostic Radiology · Green Bay, WI
53156
David Balison
Diagnostic Radiology · Green Bay, WI
47147
Ian Sproat
Diagnostic Radiology · Green Bay, WI
4390
Henry Feider
Diagnostic Radiology · Green Bay, WI
3574
James Sladky
Diagnostic Radiology · Green Bay, WI
3394
James Hansen
Clinical Cardiac Electrophysiology · Green Bay, WI
32178
Todd Fergus
Cardiology · Green Bay, WI
3293
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS2491,069
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS2321,003
ST CLARE MEMORIAL HOSPITAL, INC103428
Nami Zarvan
Diagnostic Radiology · Green Bay, WI
58163
Timothy Enright
Diagnostic Radiology · Mequon, WI
49122
David Balison
Diagnostic Radiology · Green Bay, WI
48146
TAMBEAUX, ROBERT47132
Joshua Riebe
Diagnostic Radiology · Green Bay, WI
47102
James Hansen
Clinical Cardiac Electrophysiology · Green Bay, WI
47252
BOTTEI, GREGORY46137
Ronan Smyth
Diagnostic Radiology · Green Bay, WI
45121
NPI 130699279743103
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.