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PROVIDER PROFILE · NPI 1124238985

Antonio ValentinMD

PRACTICERHEUMATOLOGY ASSOCIATES PCSee all providers at this practice →
RheumatologySpringfield, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.6
Quality
77.2
Cost
96.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.82%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 220024
Hospital
CCN 220030
Hospital
CCN 220046
Hospital
CCN 220077
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
5,373
Beneficiaries
—
Total drug cost
$3.8M
Distinct drugs
42
Brand share
21.1%
Top prescribed drugs
Gabapentin805 claims
Prednisone671 claims
Hydroxychloroquine Sulfate514 claims
Tramadol Hcl457 claims
Methotrexate Sodium402 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Antonio Valentin'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 · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BAYSTATE MEDICAL CENTER INC104294
THE MERCY HOSPITAL INC49115
Steven Berger
Ophthalmology · Springfield, MA
1122
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BAYSTATE MEDICAL CENTER INC142402
BAYSTATE MEDICAL CENTER INC122345
System Coordinated Services, Inc
Clinical Laboratory · Springfield, MA
61202
THE MERCY HOSPITAL INC58141
BAYSTATE NOBLE HOSPITAL CORPORATION2688
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
2543
HOLYOKE MEDICAL CENTER, INC.2370
Carter Tallman
Rheumatology · Springfield, MA
1529
American Medical Response Of Massachusetts Inc
Ambulance Service Provider · Springfield, MA
1214
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
4,822
Unique beneficiaries
—
Total services
13,092
Distinct HCPCS
38
Medicare payment
$246K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 204 Rheumatology providers in MA — top quintile (cohort median 564).