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PROVIDER PROFILE · NPI 1083818918

Kelly HeroldM.D.

PRACTICEUNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INCSee all providers at this practice →
Internal MedicineMadison, WII
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (9)

CCN 527135
Home health agency
CCN 527220
Home health agency
CCN 527320
Home health agency
CCN 521505
Hospice
CCN 520089
Hospital
CCN 520098
Hospital
CCN 525098
Nursing home
CCN 525305
Nursing home
CCN 525692
Nursing home
QUALITY · MIPS · 2024
Final MIPS score
83.3
Quality
87.8
Cost
75.8
Improvement activities
40.0
Promoting interop.
77.0
Payment adjustment
0.35%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
6,821
Beneficiaries
—
Total drug cost
$610K
Distinct drugs
117
Brand share
19.4%
Top prescribed drugs
Atorvastatin Calcium397 claims
Levothyroxine Sodium316 claims
Amlodipine Besylate241 claims
Lisinopril237 claims
Omeprazole218 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
719
Unique beneficiaries
—
Total services
1,173
Distinct HCPCS
7
Medicare payment
$41K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,244 Internal Medicine providers in WI — top quintile (cohort median 578).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Kelly Herold'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). 8 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MAKIELSKI, JONATHAN2159
THOM, MICHAEL1769
Mark Schiebler
Diagnostic Radiology · Madison, WI
1434
Linda Lee Eckhardt
Clinical Cardiac Electrophysiology · Madison, WI
1452
Ellen Barbouche
Internal Medicine · Madison, WI
1461
Cristopher Meyer
Diagnostic Radiology · Middleton, WI
1334
Joseph Demartini
Diagnostic Radiology · Stanford, CA
1127
Richard Kijowski
Diagnostic Radiology · New York, NY
1133
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY3474,955
STOWE-CARPENTER, BARBARA26149
Craig January
Clinical Cardiac Electrophysiology · Madison, WI
2267
Jeffrey Kanne
Diagnostic Radiology · Madison, WI
2265
Timothy Kamp
Cardiology · Madison, WI
2267
MAKIELSKI, JONATHAN2165
Ken Schreibman
Diagnostic Radiology · Ocoee, FL
1962
Lonie Salkowski
Diagnostic Radiology · Madison, WI
1642
Cristopher Meyer
Diagnostic Radiology · Middleton, WI
1654
BAUER, SHANDRA1576
Linda Lee Eckhardt
Clinical Cardiac Electrophysiology · Madison, WI
1553
THOM, MICHAEL1574
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.