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PROVIDER PROFILE · NPI 1134228281

Matthew SpatesMD

Emergency MedicineNorwich, CTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 070007
Hospital
CCN 070024
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
285
Unique beneficiaries
—
Total services
298
Distinct HCPCS
2
Medicare payment
$37K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 651 Emergency Medicine providers in CT — above median (cohort median 293).
PRESCRIBING · PART D · 2024
Total Rx claims
502
Beneficiaries
—
Total drug cost
$9K
Distinct drugs
12
Brand share
34.7%
Top prescribed drugs
Sucralfate89 claims
Ondansetron81 claims
Prednisone62 claims
Gabapentin53 claims
Albuterol Sulfate51 claims
REFERRAL NETWORK

Where Matthew Spates'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). 38 inbound referrers · 104 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE WILLIAM W BACKUS HOSPITAL2861,261
DALAL, AJAY98246
LAWRENCE AND MEMORIAL HOSPITAL, INC.54214
Justin Routhier
Diagnostic Radiology · Boston, MA
3789
Maria Goral
Internal Medicine · Norwich, CT
3065
Ting Li
Cardiology · Norwich, CT
3066
Quest Diagnostics Llc
Clinical Laboratory · Wallingford, CT
2984
HARTFORD HEALTHCARE AT HOME, INC2638
Rommel Ramon Geronimo
Internal Medicine · Norwich, CT
2337
GENERATIONS FAMILY HEALTH CENTER, INC.2250
Herb Lustberg
Diagnostic Radiology · Norwich, CT
2237
POWELL, STEVEN2171
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE WILLIAM W BACKUS HOSPITAL4762,109
American Ambulance Service, Inc.
Ambulance Service Provider · Norwich, CT
218722
Phillip Kohanski
Diagnostic Radiology · Norwich, CT
186436
THE WILLIAM W BACKUS HOSPITAL151221
Thomas Fay
Diagnostic Radiology · Boston, MA
129281
Nathaniel Dueker
Diagnostic Radiology · Norwich, CT
129287
William Donovan
Diagnostic Radiology · Norwich, CT
117281
DEGLIN, STUART111232
Amr Atef
Cardiology · Norwich, CT
84183
Stacy Spooner
Diagnostic Radiology · New Haven, CT
81202
Justin Routhier
Diagnostic Radiology · Boston, MA
71163
DALAL, AJAY64132
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
Final MIPS score
97.8
Quality
90.0
Cost
78.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.96%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.