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PROVIDER PROFILE · NPI 1114950185

Matthew GembalaM.D., M.P.H.

PRACTICEAKDHC, LLCSee all providers at this practice →
NephrologyFlagstaff, AZI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (8)

CCN 032536
Dialysis facility
CCN 032558
Dialysis facility
CCN 032636
Dialysis facility
CCN 030023
Hospital
CCN 030055
Hospital
CCN 030062
Hospital
CCN 030069
Hospital
CCN 030101
Hospital
REFERRAL NETWORK

Where Matthew Gembala'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). 48 inbound referrers · 79 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Stephen Ward
Diagnostic Radiology · Flagstaff, AZ
89665
Ang Chen
Nephrology · Flagstaff, AZ
851,321
Michael Labenz
Diagnostic Radiology · Flagstaff, AZ
72427
HIETTE, PAUL60404
Jennifer Kottra
Diagnostic Radiology · Mchenry, IL
58322
NPI 134628758844275
SPECTRA LABORATORIES INC38152
Joseph Scionti
Hospitalist · Flagstaff, AZ
35175
Craig Peters
Cardiology · Flagstaff, AZ
3382
NISHIMI, LESLIE33268
Nagaraj Madugonde
Hospitalist · Glendale, AZ
33131
FLAGSTAFF MEDICAL CENTER28137
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FLAGSTAFF MEDICAL CENTER101406
Harnath Singh
Nephrology · Flagstaff, AZ
991,585
Ang Chen
Nephrology · Flagstaff, AZ
70905
Stephen Ward
Diagnostic Radiology · Flagstaff, AZ
69326
James Skrocki
Diagnostic Radiology · Flagstaff, AZ
63305
HERMAN, EDWARD61304
Kenneth Salce
Diagnostic Radiology · Flagstaff, AZ
56267
Michael Labenz
Diagnostic Radiology · Flagstaff, AZ
55206
Jennifer Kottra
Diagnostic Radiology · Mchenry, IL
53203
Kent Winkler
Cardiology · Flagstaff, AZ
49183
HIETTE, PAUL49165
Peter Leopold
Nephrology · Bullhead City, AZ
42277
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
571
Unique beneficiaries
—
Total services
932
Distinct HCPCS
9
Medicare payment
$113K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 225 Nephrology providers in AZ — below median (cohort median 2,066).
PRESCRIBING · PART D · 2024
Total Rx claims
885
Beneficiaries
—
Total drug cost
$203K
Distinct drugs
28
Brand share
8.7%
Top prescribed drugs
Losartan Potassium103 claims
Allopurinol70 claims
Amlodipine Besylate62 claims
Furosemide61 claims
Lisinopril58 claims
QUALITY · MIPS · 2024
Final MIPS score
88.2
Quality
67.7
Cost
76.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.56%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$649
Payment records
29
By payment type
Food and Beverage$649