PROVIDER PROFILE · NPI 1104933969

NPI 1104933969

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$17

Payment records

By payment type

Food and Beverage$17

REFERRAL NETWORK

Where NPI 1104933969'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). 3 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Brent Hathcock Certified Registered Nurse Anesthetist (CRNA) · Dallas, TX	18	21
Leslie Debona Certified Registered Nurse Anesthetist (CRNA) · Dallas, TX	15	20
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	12	18

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Baylor Surgicare At Mansfield, Llc Ambulatory Surgical Center · Mansfield, TX	77	99
Marion Legros Certified Registered Nurse Anesthetist (CRNA) · Fort Worth, TX	15	20
Brittany Potter Family Practice · Cedar Hill, TX	11	36
Ameripath Texas, Inc. Clinical Laboratory · Lewisville, TX	11	25

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history