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PROVIDER PROFILE · NPI 1144537135

Roxana Aguirre PedrozaM.D.

Internal MedicineKettering, OHI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 360079
Hospital
CCN 360133
Hospital
CCN 360239
Hospital
CCN 360360
Hospital
CCN 360368
Hospital
REFERRAL NETWORK

Where Roxana Aguirre Pedroza'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 · 1 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
COOK COUNTY1676
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
549
Unique beneficiaries
—
Total services
1,339
Distinct HCPCS
8
Medicare payment
$75K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,517 Internal Medicine providers in OH — top quintile (cohort median 587).
PRESCRIBING · PART D · 2024
Total Rx claims
1,238
Beneficiaries
—
Total drug cost
$1.9M
Distinct drugs
36
Brand share
31.0%
Top prescribed drugs
Prednisone114 claims
Abiraterone Acetate105 claims
Apixaban98 claims
Rivaroxaban78 claims
Anastrozole67 claims
QUALITY · MIPS · 2024
Final MIPS score
81.3
Quality
63.7
Cost
74.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.27%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$387
Payment records
3
By payment type
Food and Beverage$387