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PROVIDER PROFILE · NPI 1184771909

Theodros MengeshaMD

PRACTICETENNESSEE VALLEY NEUROLOGICAL ASSOCIATES PCSee all providers at this practice →
NeurologyMadison, ALI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 010039
Hospital
CCN 010079
Hospital
CCN 010085
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,643
Unique beneficiaries
—
Total services
2,102
Distinct HCPCS
12
Medicare payment
$212K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 208 Neurology providers in AL — top quintile (cohort median 566).
REFERRAL NETWORK

Where Theodros Mengesha'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). 54 inbound referrers · 118 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE4511,206
HUNTSVILLE EMERGENCY MEDICAL SERVICES, INC.113249
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
63109
Darrin Johnson
Diagnostic Radiology · Huntsville, AL
63165
Tangayi Githu
Diagnostic Radiology · Saint Louis, MO
52106
Paul Fry
Diagnostic Radiology · Huntsville, AL
51127
Shi-Chi Cheng
Cardiology · Huntsville, AL
51157
Michael Smith
Diagnostic Radiology · Huntsville, AL
47107
Timothy Baker
Diagnostic Radiology · Huntsville, AL
4582
AKENHEAD, ROBERT4279
CRESTWOOD HEALTHCARE LP4177
Richard Coleman
Diagnostic Radiology · Huntsville, AL
3983
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE4351,331
HUNTSVILLE EMERGENCY MEDICAL SERVICES, INC.115284
Anjaneyulu Alapati
Neurology · Huntsville, AL
104222
HEALTH CARE AUTHORITY OF ATHENS AND LIMESTONE COUNTY66133
Alfred Malone
Diagnostic Radiology · Huntsville, AL
61182
Joseph Scales
Diagnostic Radiology · Huntsville, AL
60133
Michael Smith
Diagnostic Radiology · Huntsville, AL
60143
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
56106
William Lynn
Diagnostic Radiology · Huntsville, AL
52105
Roderick Zalamea
Diagnostic Radiology · Huntsville, AL
5299
Timothy Baker
Diagnostic Radiology · Huntsville, AL
51108
Robert Suber
Diagnostic Radiology · Huntsville, AL
50100
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
88.3
Quality
82.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
83.1
Payment adjustment
0.56%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
7,978
Beneficiaries
—
Total drug cost
$1.5M
Distinct drugs
77
Brand share
21.6%
Top prescribed drugs
Memantine Hcl699 claims
Levetiracetam580 claims
Gabapentin571 claims
Amitriptyline Hcl366 claims
Donepezil Hcl351 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$5K
Payment records
263
By payment type
Food and Beverage$5K
Education$63