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PROVIDER PROFILE · NPI 1144333501

Todd NelsonM.D.

PRACTICEHOLY FAMILY MEMORIAL INCSee all providers at this practice →
Emergency MedicineManitowoc, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 520075
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
390
Unique beneficiaries
—
Total services
410
Distinct HCPCS
4
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 945 Emergency Medicine providers in WI — top quintile (cohort median 298).
PRESCRIBING · PART D · 2024
Total Rx claims
165
Beneficiaries
—
Total drug cost
$5K
Distinct drugs
10
Brand share
34.5%
Top prescribed drugs
Prednisone23 claims
Ondansetron23 claims
Hydrocodone/Acetaminophen22 claims
Cephalexin17 claims
Atorvastatin Calcium16 claims
QUALITY · MIPS · 2024
Final MIPS score
84.7
Quality
73.2
Cost
82.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.41%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Todd Nelson'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). 0 inbound referrers · 26 outbound destinations.

Receives referrals from
Inbound — who sends patients here
No inbound pairs above the suppression threshold.
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HOLY FAMILY MEMORIAL INC1821,124
DUDEK, STEPHEN90198
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55100
City Of Manitowoc
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5391
Laurence Verlinden
Family Practice · Manitowoc, WI
47106
Michael Hiebert
Internal Medicine · Manitowoc, WI
4399
KELLER, THOMAS4289
Michael Hoftiezer
Internal Medicine · Manitowoc, WI
3985
Matthew Gentile
Interventional Cardiology · Manitowoc, WI
2658
Pradeep Giriyappa
Internal Medicine · Manitowoc, WI
25114
SCHMIDT, GARY2389
Amanda Nichols
Nurse Practitioner · Green Bay, WI
2353
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.