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PROVIDER PROFILE · NPI 1104877794

NPI 1104877794

CROSS-REFERENCE

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

Where NPI 1104877794'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). 25 inbound referrers · 55 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Vpa Pc
Clinical Laboratory · Troy, MI
3391,049
Jaime Yambao
Family Practice · Flint, MI
127449
Cassandra Wormack
Family Practice · Okemos, MI
63168
QUEST DIAGNOSTICS INCORPORATED MI5688
Mobile Medical Response Inc
Ambulance Service Provider · Saginaw, MI
5292
Donna Washington-Keeling
Internal Medicine · Caro, MI
47136
Jose Paez Gonzalez
Family Practice · Flint, MI
46115
Bradley Blackburn
Diagnostic Radiology · Strongsville, OH
3741
KEELING, MARVIN36177
Rigel Galera
Family Practice · Port Huron, MI
33148
ROSE, WENDY3364
ASCENSION GENESYS HOSPITAL2533
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Vpa Pc
Clinical Laboratory · Troy, MI
224669
TAHA, MANUEL158208
Vpa Pc
Portable X-Ray Supplier · Troy, MI
144179
VPA PC133175
Jaime Yambao
Family Practice · Flint, MI
119394
George Kodsy
Internal Medicine · Flint, MI
99565
HURLEY MEDICAL CENTER96157
Donna Washington-Keeling
Internal Medicine · Caro, MI
79317
LOCKWITZ, TODD72441
MCLAREN FLINT69120
Jose Paez Gonzalez
Family Practice · Flint, MI
67252
Angel Thompson
Nurse Practitioner · Saginaw, MI
65267
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.