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PROVIDER PROFILE · NPI 1174526479

Rachel GatesO.D.

OptometryGrand Rapids, MII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
85.5
Cost
31.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$68
Payment records
3
By payment type
Food and Beverage$68
PRESCRIBING · PART D · 2024
Total Rx claims
550
Beneficiaries
—
Total drug cost
$68K
Distinct drugs
13
Brand share
38.7%
Top prescribed drugs
Latanoprost179 claims
Timolol Maleate86 claims
Brimonidine Tartrate/Timolol48 claims
Dorzolamide Hcl/Timolol Maleat40 claims
Neomycin/Polymyxin B/Dexametha29 claims
REFERRAL NETWORK

Where Rachel Gates'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). 7 inbound referrers · 17 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SPECTRUM HEALTH UNITED122231
SPARROW CARSON HOSPITAL1729
Frank Webber
Podiatry · Greenville, MI
1723
Kevin Reed
Internal Medicine · Greenville, MI
1533
CRITTENDEN MD, DAVID1420
Kaushal Kalra
Family Practice · Memphis, TN
1336
Timothy Helder
Internal Medicine · Greenville, MI
1123
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SPECTRUM HEALTH UNITED113198
Russell Weber
Ophthalmology · Grand Rapids, MI
3048
Kevin Reed
Internal Medicine · Greenville, MI
2355
REGENTS OF THE UNIVERSITY OF MICHIGAN2122
John Merchun
Diagnostic Radiology · Greenville, MI
1819
SPARROW CARSON HOSPITAL1624
Frank Webber
Podiatry · Greenville, MI
1519
Kaushal Kalra
Family Practice · Memphis, TN
1535
SPECTRUM HEALTH KELSEY1523
Shawn Ruth
Internal Medicine · Greenville, MI
1322
SPECTRUM HEALTH UNITED1324
SPECTRUM HEALTH HOSPITALS1315
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
510
Unique beneficiaries
—
Total services
550
Distinct HCPCS
8
Medicare payment
$34K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 962 Optometry providers in MI — top quintile (cohort median 177).