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PROVIDER PROFILE · NPI 1174525869

Othon WiltzM.D.

Colorectal Surgery (Proctology)Fairfax, VAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 330059
Hospital
CCN 330086
Hospital
REFERRAL NETWORK

Where Othon Wiltz'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). 3 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
2994
SIDANI, SHAFIK2246
I-Tien Yeh
Pathology · Arlington, VA
1124
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM77384
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
2473
SIDANI, SHAFIK2286
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
2160
Robert Mordkin
Urology · Arlington, VA
1761
Andrea Clark
Anesthesiology · Washington, DC
1434
Kathryn Villa
Pathology · Arlington, VA
1350
Claude Raphael
Diagnostic Radiology · Arlington, VA
1235
Michael Jay
Diagnostic Radiology · Darby, PA
1230
Neal Desai
Diagnostic Radiology · Arlington, VA
1116
Matthew Sandusky
Diagnostic Radiology · Arlington, VA
1122
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.
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
27.5
Cost
68.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
66
Beneficiaries
—
Total drug cost
$154
Distinct drugs
3
Brand share
0.0%
Top prescribed drugs
Metronidazole25 claims
Neomycin Sulfate24 claims
Tramadol Hcl17 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$23
Payment records
1
By payment type
Food and Beverage$23
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
39
Unique beneficiaries
—
Total services
57
Distinct HCPCS
2
Medicare payment
$7K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 42 Colorectal Surgery (Proctology) providers in VA — bottom quintile (cohort median 494).