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PROVIDER PROFILE · NPI 1134380843

Nicholas RathertMD

PRACTICEMSA ALLIANCE, LLCSee all providers at this practice →
Emergency MedicineGreenville, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 140137
Hospital
CCN 140145
Hospital
CCN 141336
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
254
Unique beneficiaries
—
Total services
260
Distinct HCPCS
4
Medicare payment
$33K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,228 Emergency Medicine providers in IL — below median (cohort median 344).
PRESCRIBING · PART D · 2024
Total Rx claims
29
Beneficiaries
—
Total drug cost
$163
Distinct drugs
2
Brand share
51.7%
Top prescribed drugs
Ondansetron15 claims
Cephalexin14 claims
QUALITY · MIPS · 2024
Final MIPS score
93.4
Quality
86.8
Cost
77.3
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.77%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Nicholas Rathert'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). 22 inbound referrers · 63 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ALBANY MEDICAL CENTER HOSPITAL134315
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY3466
SAMARITAN HOSPITAL OF TROY, NEW YORK3182
PHELPS, CARLTON2142
RIBONS, LISA2042
Benjamin Chang
Vascular Surgery · Williamsport, PA
1832
Frederic Hellwitz
Diagnostic Radiology · Latham, NY
1828
HENDRICK, WILLIAM1730
NPI 10533039251761
Ralph Darling
Vascular Surgery · Albany, NY
1641
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1539
Radmila Lyubarova
Cardiology · Albany, NY
1341
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ALBANY MEDICAL CENTER HOSPITAL337770
Edward Philbin
Cardiology · Albany, NY
102203
Parkland Ambulance Service, Inc.
Ambulance Service Provider · Schenectady, NY
91206
Frederic Hellwitz
Diagnostic Radiology · Latham, NY
56108
John Fantauzzi
Diagnostic Radiology · Latham, NY
4692
Norman Patterson
Diagnostic Radiology · Latham, NY
4579
Mikhail Torosoff
Cardiology · Albany, NY
4293
Steven Fein
Cardiology · Albany, NY
3674
Maurice Marchand
Diagnostic Radiology · Fort Myers, FL
3459
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY3477
Radmila Lyubarova
Cardiology · Albany, NY
3373
HENDRICK, WILLIAM3150
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.