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PROVIDER PROFILE · NPI 1104082221

NPI 1104082221

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1104082221'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). 58 inbound referrers · 90 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kootenai County Emergency Medical Services System
Ambulance Service Provider · Coeur D Alene, ID
110311
Pathologists Regional Laboratory
Clinical Laboratory · Lewiston, ID
701,351
ST. JOSEPH HOSPITAL LLC68239
CLEARWATER OPERATIONS, LLC67195
DOWNS, HENRY631,371
LAKE CITY MEDICAL INVESTORS, LLC63163
Michael Meza
Family Practice · Coeur D Alene, ID
56447
LACROSSE HEALTH- COEUR D'ALENE, LLC55214
Brian Mcnamee
Diagnostic Radiology · Coeur D Alene, ID
48103
City Of Lewiston
Ambulance Service Provider · Lewiston, ID
45137
Casey Fatz
Diagnostic Radiology · Coeur D Alene, ID
42112
Susan Daugharty Fowler
Internal Medicine · Coeur Dalene, ID
4167
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
KOOTENAI HEALTH, INC.160580
PATHOLOGY ASSOCIATES MEDICAL LABORATORIES LLC1261,072
Kootenai County Emergency Medical Services System
Ambulance Service Provider · Coeur D Alene, ID
89343
Pathologists Regional Laboratory
Clinical Laboratory · Lewiston, ID
781,776
DOWNS, HENRY661,784
Jeffrey Harris
Internal Medicine · Lewiston, ID
66976
ST. JOSEPH HOSPITAL LLC65273
LAKE CITY MEDICAL INVESTORS, LLC53142
Michael Meza
Family Practice · Coeur D Alene, ID
52484
CLEARWATER OPERATIONS, LLC51156
Gregory Barron
Nurse Practitioner · Meridian, ID
49237
Susan Melchiore
Internal Medicine · Coeur D Alene, ID
48279
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.