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PROVIDER PROFILE · NPI 1124280649

Theresa HeggeM.D.

Plastic and Reconstructive SurgeryBismarck, NDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 350015
Hospital
REFERRAL NETWORK

Where Theresa Hegge'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). 1 inbound referrers · 4 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Trinity Health
Clinical Laboratory · Williston, ND
1775
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MERCY MEDICAL CENTER77449
MCCOY JR, FRANKLIN1542
Trinity Health
Clinical Laboratory · Williston, ND
1353
John Andelin
Pathology · Williston, ND
1233
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.
PRESCRIBING · PART D · 2024
Total Rx claims
25
Beneficiaries
—
Total drug cost
$56
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Hydrocodone/Acetaminophen25 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$29
Payment records
1
By payment type
Food and Beverage$29
QUALITY · MIPS · 2024
Final MIPS score
89.6
Quality
89.4
Cost
76.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.62%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
27
Unique beneficiaries
—
Total services
27
Distinct HCPCS
2
Medicare payment
$8K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 14 Plastic and Reconstructive Surgery providers in ND — below median (cohort median 185).