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PROVIDER PROFILE · NPI 1124096581

Matthew NicolaMD

Family PracticeSpring Branch, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 457986
Home health agency
CCN 677544
Home health agency
CCN 679145
Home health agency
CCN 747928
Home health agency
CCN 450272
Hospital
CCN 673049
Inpatient rehabilitation facility
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,204
Unique beneficiaries
—
Total services
2,837
Distinct HCPCS
25
Medicare payment
$160K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,385 Family Practice providers in TX — top quintile (cohort median 567).
PRESCRIBING · PART D · 2024
Total Rx claims
4,372
Beneficiaries
—
Total drug cost
$324K
Distinct drugs
90
Brand share
18.9%
Top prescribed drugs
Atorvastatin Calcium345 claims
Levothyroxine Sodium252 claims
Losartan Potassium200 claims
Lisinopril170 claims
Amlodipine Besylate148 claims
QUALITY · MIPS · 2024
Final MIPS score
92.8
Quality
98.6
Cost
77.9
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.75%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Matthew Nicola'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). 19 inbound referrers · 44 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
206415
Stephen Vreeke
Family Practice · Spring Branch, TX
99178
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION82170
Jose Martinez
Physician Assistant · Canyon Lake, TX
58131
MILBOURN, JOHN2948
Robbie Locklear-Zoll
Physician Assistant · San Antonio, TX
2637
Stephen Carey
Cardiology · New Braunfels, TX
2258
EMERUS BHS SA THOUSAND OAKS, LLC2028
RESOLUTE HOSPITAL COMPANY, LLC1951
Bill Davis
Neurology · New Braunfels, TX
1640
Patrick Williams
Urology · New Braunfels, TX
1544
Richard Shaffer
Gastroenterology · San Antonio, TX
1430
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
5341,066
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION142296
Stephen Vreeke
Family Practice · Spring Branch, TX
83162
MILBOURN, JOHN4671
Jose Martinez
Physician Assistant · Canyon Lake, TX
4294
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
4078
Fernando Bazan
Diagnostic Radiology · New Braunfels, TX
3772
Richard Lowe
Diagnostic Radiology · New Braunfels, TX
3664
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
3367
LAURENCE ROBERT BOWER III3265
VHS SAN ANTONIO PARTNERS LLC3068
Stephen Carey
Cardiology · New Braunfels, TX
2886
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.