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PROVIDER PROFILE · NPI 1134533417
Kelly Dahlstrom
D.O.
Diagnostic Radiology
Salt Lake City,
UT
I
CROSS-REFERENCE
Related data on other Healthparse brands
ProviderScore
OIG/SAM exclusion screening, sanctions history
Healthparse Signals
Monitor this provider for changes — dated NPI change events
QUALITY · MIPS · 2024
Final MIPS score
92.9
Quality
77.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.75%
APM Entity
FACILITY AFFILIATIONS
Hospital & Facility Affiliations (3)
CCN 170040
Hospital
CCN 170122
Hospital
CCN 170191
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025
Total received
$83
Payment records
2
By payment type
Food and Beverage
$83
Top paying entities
Food and Beverage
$83
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,616
Unique beneficiaries
—
Total services
1,677
Distinct HCPCS
25
Medicare payment
$76K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 235 Diagnostic Radiology providers in UT — below median (cohort median 1,977).
