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PROVIDER PROFILE · NPI 1154513752

Nicola GathaiyaMD

EndocrinologySpringfield, MOI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 260040
Hospital
CCN 260094
Hospital
CCN 261329
Hospital
REFERRAL NETWORK

Where Nicola Gathaiya'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). 5 inbound referrers · 13 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LESTER E COX MEDICAL CENTERS141563
SGOH ACQUISITION INC1540
Terrence Coulter
Pulmonary Disease · Springfield, MO
1252
Mark Anderson
Interventional Cardiology · Springfield, MO
1127
Linda Macgorman
Internal Medicine · Springfield, MO
1142
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
LESTER E COX MEDICAL CENTERS105340
SKAGGS COMMUNITY HOSPITAL ASSOCIATION74490
Kelley Jenkins
Nurse Practitioner · Springfield, MO
3082
Jacqueline Cook
Nurse Practitioner · Springfield, MO
3059
Labone Llc
Clinical Laboratory · Lenexa, KS
1644
MERCY HOSPITAL SPRINGFIELD1443
Kevin Baehl
Diagnostic Radiology · Springfield, MO
1321
SGOH ACQUISITION INC1226
SKAGGS COMMUNITY HOSPITAL ASSOCIATION1127
KHIR, NADIR1127
HAWKINS, CALVIN1123
Stephen Kuehn
Interventional Cardiology · Washington, MO
1130
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
1,461
Unique beneficiaries
—
Total services
1,688
Distinct HCPCS
25
Medicare payment
$60K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 144 Endocrinology providers in MO — near median (cohort median 929).
PRESCRIBING · PART D · 2024
Total Rx claims
1,993
Beneficiaries
—
Total drug cost
$524K
Distinct drugs
35
Brand share
39.8%
Top prescribed drugs
Levothyroxine Sodium338 claims
Levothyroxine Sodium173 claims
Tirzepatide130 claims
Metformin Hcl128 claims
Insulin Glargine,hum.Rec.Anlog97 claims
QUALITY · MIPS · 2024
Final MIPS score
85.8
Quality
74.4
Cost
78.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$913
Payment records
43
By payment type
Food and Beverage$913