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PROVIDER PROFILE · NPI 1104848258

NPI 1104848258

CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
84.2
Quality
67.7
Cost
80.6
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.39%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$172
Payment records
8
By payment type
Food and Beverage$172
REFERRAL NETWORK

Where NPI 1104848258'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). 5 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Interventional Pain Management Llc
Ambulatory Surgical Center · Valparaiso, IN
101158
Simon Ho
Pain Management · Crown Point, IN
4487
Daniel Cha
Anesthesiology · Skokie, IL
4381
Eileen Boetel
Certified Registered Nurse Anesthetist (CRNA) · Lansing, IL
1313
PORTER HOSPITAL LLC1120
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Simon Ho
Pain Management · Crown Point, IN
73149
Chetan Puranik
Anesthesiology · La Porte, IN
4267
Interventional Pain Management Llc
Ambulatory Surgical Center · Valparaiso, IN
3034
Daniel Cha
Anesthesiology · Skokie, IL
2331
Williams Eye Institute, Pc
Ambulatory Surgical Center · Hammond, IN
1924
ST MARY MEDICAL CENTER INC1626
PORTER HOSPITAL LLC1625
PHETCHAMPHONE, SITSADAPHONE1357
Douglas Williams Md
Ophthalmology · Crown Point, IN
1223
PHETTHONGSY, PHOXAY1147
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.