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PROVIDER PROFILE · NPI 1134135940

Michele SheetzFNP

PRACTICESHENANDOAH PHARMACY, LLCSee all providers at this practice →
Nurse PractitionerMartinsburg, WVI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 517053
Home health agency
CCN 510008
Hospital
CCN 511319
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
329
Unique beneficiaries
—
Total services
471
Distinct HCPCS
7
Medicare payment
$24K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,585 Nurse Practitioner providers in WV — top quintile (cohort median 216).
REFERRAL NETWORK

Where Michele Sheetz'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). 6 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.166449
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
55150
CITY HOSPITAL, INC55145
Dimitri Misailidis
Diagnostic Radiology · Martinsburg, WV
2334
Sanjay Saluja
Diagnostic Radiology · Roseville, MN
1841
John Blanco
Diagnostic Radiology · Martinsburg, WV
1215
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.82168
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
70209
CITY HOSPITAL, INC66206
Dawn Jones
Internal Medicine · Martinsburg, WV
2261
MALLOTT, STEPHEN1948
John Blanco
Diagnostic Radiology · Martinsburg, WV
1839
JUNG, HOJOON1647
Dimitri Misailidis
Diagnostic Radiology · Martinsburg, WV
1622
Sanjay Saluja
Diagnostic Radiology · Roseville, MN
1545
Courtney Struthers
Internal Medicine · Martinsburg, WV
1364
Anthony Owunna
Internal Medicine · Martinsburg, WV
1120
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
3,034
Beneficiaries
—
Total drug cost
$387K
Distinct drugs
77
Brand share
18.0%
Top prescribed drugs
Atorvastatin Calcium238 claims
Lisinopril173 claims
Amlodipine Besylate129 claims
Rosuvastatin Calcium121 claims
Levothyroxine Sodium105 claims
QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
79.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.86%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$65
Payment records
2
By payment type
Food and Beverage$65