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PROVIDER PROFILE · NPI 1205871035

Michael SmithM.D.

RheumatologyKansas City, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
92.9
Quality
77.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.75%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 260097
Hospital
CCN 260138
Hospital
CCN 260216
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
3,352
Beneficiaries
—
Total drug cost
$767K
Distinct drugs
24
Brand share
23.4%
Top prescribed drugs
Hydroxychloroquine Sulfate1,099 claims
Methotrexate Sodium616 claims
Prednisone366 claims
Folic Acid184 claims
Leflunomide174 claims
REFERRAL NETWORK

Where Michael Smith'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 · 13 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST LUKES HOSPITAL OF KANSAS CITY183827
SAINT LUKES EAST HOSPITAL61132
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
2449
Kent Huston
Rheumatology · Kansas City, MO
1841
Medical Plaza Imaging Associates, Llc
Independent Diagnostic Testing Facility (IDTF) · Kansas City, MO
1727
Kent Huston
Internal Medicine · Kansas City, MO
1431
Jessica Sanchez
Diagnostic Radiology · Kansas City, MO
1218
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST LUKES HOSPITAL OF KANSAS CITY76203
SAINT LUKES EAST HOSPITAL4383
Labone Llc
Clinical Laboratory · Lenexa, KS
3274
Jessica Sanchez
Diagnostic Radiology · Kansas City, MO
2595
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY2264
Medical Plaza Imaging Associates, Llc
Independent Diagnostic Testing Facility (IDTF) · Kansas City, MO
2136
Ann Warner
Rheumatology · Kansas City, MO
2047
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
1837
Ankit Rastogi
Diagnostic Radiology · Kansas City, MO
1741
CENTERPOINT MEDICAL CENTER OF INDEPENDENCE, LLC1425
NORTH KANSAS CITY HOSPITAL1224
Peter Holt
Internal Medicine · Kansas City, MO
1249
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
3,954
Unique beneficiaries
—
Total services
176,144
Distinct HCPCS
41
Medicare payment
$2.2M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 94 Rheumatology providers in MO — top quintile (cohort median 1,226).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$750
Payment records
1
By payment type
Consulting Fee$750