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PROVIDER PROFILE · NPI 1104141126

Brian HilgemanM.D.

Internal MedicineMilwaukee, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
88.0
Quality
82.8
Cost
77.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.55%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 527083
Home health agency
CCN 520177
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
7,196
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
130
Brand share
27.0%
Top prescribed drugs
Atorvastatin Calcium508 claims
Amlodipine Besylate305 claims
Gabapentin282 claims
Albuterol Sulfate194 claims
Lisinopril171 claims
REFERRAL NETWORK

Where Brian Hilgeman'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). 1 inbound referrers · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America
Clinical Laboratory · Itasca, IL
1533
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.70268
Wisconsin Diagnostic Laboratories Llc
Clinical Laboratory · Milwaukee, WI
1841
AURORA HEALTH CARE METRO, INC.1540
ASCENSION ST FRANCIS HOSPITAL, INC1228
16TH STREET COMMUNITY HEALTH CENTER INC.1226
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.1227
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
71
Unique beneficiaries
—
Total services
90
Distinct HCPCS
3
Medicare payment
$6K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,244 Internal Medicine providers in WI — bottom quintile (cohort median 578).