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PROVIDER PROFILE · NPI 1093861569

Lori HerganM.D.

PRACTICEAPEX HOSPITALIST MEDICAL GROUP INCSee all providers at this practice →
UrologyHemet, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
96.8
Quality
82.9
Cost
78.9
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.92%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 050390
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$326
Payment records
11
By payment type
Food and Beverage$227
Education$99
PRESCRIBING · PART D · 2024
Total Rx claims
2,036
Beneficiaries
—
Total drug cost
$148K
Distinct drugs
26
Brand share
36.3%
Top prescribed drugs
Tamsulosin Hcl474 claims
Oxybutynin Chloride236 claims
Finasteride226 claims
Solifenacin Succinate125 claims
Ciprofloxacin Hcl110 claims
REFERRAL NETWORK

Where Lori Hergan'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). 2 inbound referrers · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SHARP MEMORIAL HOSPITAL3155
Sharp Healthcare
Clinical Laboratory · San Diego, CA
1246
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Sharp Healthcare
Clinical Laboratory · San Diego, CA
63117
Sharp Healthcare
Clinical Laboratory · San Diego, CA
62193
SHARP MEMORIAL HOSPITAL43111
Sharp Healthcare
Clinical Laboratory · San Diego, CA
1956
Sharp Healthcare
Clinical Laboratory · San Diego, CA
1836
Sharp Healthcare
Clinical Laboratory · San Diego, CA
1523
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
622
Unique beneficiaries
—
Total services
925
Distinct HCPCS
12
Medicare payment
$74K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 942 Urology providers in CA — below median (cohort median 1,637).