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PROVIDER PROFILE · NPI 1124218102

Faith MantyAPRN, CNP

PRACTICEESSENTIA HEALTH MOOSE LAKESee all providers at this practice →
Nurse PractitionerMoose Lake, MNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 241350
Hospital
CCN 241364
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
193
Unique beneficiaries
—
Total services
223
Distinct HCPCS
9
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,917 Nurse Practitioner providers in MN — above median (cohort median 222).
PRESCRIBING · PART D · 2024
Total Rx claims
1,943
Beneficiaries
—
Total drug cost
$181K
Distinct drugs
62
Brand share
22.3%
Top prescribed drugs
Lisinopril113 claims
Levothyroxine Sodium97 claims
Atorvastatin Calcium93 claims
Losartan Potassium72 claims
Hydrocodone/Acetaminophen68 claims
REFERRAL NETWORK

Where Faith Manty'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). 10 inbound referrers · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
GATEWAY FAMILY HEALTH CLINIC, LTD.86277
SMDC MEDICAL CENTER2862
Christopher Thiessen
Family Practice · Moose Lake, MN
2142
ST MARYS MEDICAL CENTER1963
Phyllis Noss
Diagnostic Radiology · Duluth, MN
1758
Kathy Brandli
Family Practice · Moose Lake, MN
1641
Steve Tekippe
Family Practice · Moose Lake, MN
1667
Lynn Stottler
Family Practice · Moose Lake, MN
1581
Randy Rice
Family Practice · Moose Lake, MN
1436
Sonja Roach
Nurse Practitioner · Moose Lake, MN
1231
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GATEWAY FAMILY HEALTH CLINIC, LTD.216754
MOOSE LAKE COMMUNITY HOSPITAL DISTRICT118337
Phyllis Noss
Diagnostic Radiology · Duluth, MN
50106
Steve Tekippe
Family Practice · Moose Lake, MN
44117
GATEWAY FAMILY HEALTH CLINIC, LTD.40143
Laboratory Corporation Of America
Clinical Laboratory · Englewood, CO
3388
SMDC MEDICAL CENTER3193
PINE MEDICAL CENTER2590
Sonja Roach
Nurse Practitioner · Moose Lake, MN
2452
Christopher Thiessen
Family Practice · Moose Lake, MN
2365
Paul Dewey
Internal Medicine · Moose Lake, MN
2380
ST MARYS MEDICAL CENTER2274
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.