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PROVIDER PROFILE · NPI 1205824489

Nelson PlochM.D.

UrologyNorth Charleston, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
84.0
Quality
65.2
Cost
81.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.38%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 427132
Home health agency
CCN 420030
Hospital
CCN 420079
Hospital
CCN 420087
Hospital
CCN 420089
Hospital
CCN 420110
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
10,031
Beneficiaries
—
Total drug cost
$2.4M
Distinct drugs
47
Brand share
36.9%
Top prescribed drugs
Alfuzosin Hcl1,424 claims
Testosterone Cypionate958 claims
Dutasteride890 claims
Tamsulosin Hcl870 claims
Anastrozole593 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
88
By payment type
Food and Beverage$2K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
6,771
Unique beneficiaries
—
Total services
19,141
Distinct HCPCS
30
Medicare payment
$886K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 146 Urology providers in SC — top quintile (cohort median 4,499).
REFERRAL NETWORK

Where Nelson Ploch'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). 95 inbound referrers · 215 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
TRIDENT MEDICAL CENTER LLC5401,773
David Castellone
Family Practice · Summerville, SC
101417
MEDICAL UNIVERSITY HOSPITAL AUTHORITY87232
Ap Laboratories
Clinical Laboratory · North Charleston, SC
85247
Phillip Raduazo
Diagnostic Radiology · Grand Rapids, MI
71153
Brian Burke
Diagnostic Radiology · Mount Pleasant, SC
69136
SOLSTAS LAB PARTNERS GROUP LLC64127
Thomas Puckette
Diagnostic Radiology · Mount Pleasant, SC
56117
Aron Rosenthal
Diagnostic Radiology · Mount Pleasant, SC
50127
Matthew Dunn
Diagnostic Radiology · Charleston, SC
43123
Hudson Rogers
Dermatology · Charleston, SC
42104
John Mcgue
Diagnostic Radiology · Mount Pleasant, SC
42131
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Dianon Systems Inc
Clinical Laboratory · Oklahoma City, OK
6501,268
TRIDENT MEDICAL CENTER LLC5231,985
ENGELMAN, OTIS361890
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
348884
Richard Clinton
Diagnostic Radiology · Raleigh, NC
151262
South Carolina Diagnostic Imaging, Llc
Independent Diagnostic Testing Facility (IDTF) · N Charleston, SC
130221
ROPER HOSPITAL, INC110274
Melanie Hopkins
Pathology · Little River, SC
89175
David Castellone
Family Practice · Summerville, SC
84352
MEDICAL UNIVERSITY HOSPITAL AUTHORITY80227
Joshua Macatol
Diagnostic Radiology · Mount Pleasant, SC
72150
Phillip Raduazo
Diagnostic Radiology · Grand Rapids, MI
72218
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.