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PROVIDER PROFILE · NPI 1225039142

Ileana HelmsMD

PRACTICEPACIFIC NEPHROLOGY MEDICAL CORPORATIONSee all providers at this practice →
NephrologyConcord, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
96.0
Cost
77.6
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (10)

CCN 052689
Dialysis facility
CCN 552535
Dialysis facility
CCN 552664
Dialysis facility
CCN 552772
Dialysis facility
CCN 552829
Dialysis facility
CCN 050180
Hospital
CCN 050276
Hospital
CCN 050454
Hospital
CCN 050496
Hospital
CCN 050523
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,997
Beneficiaries
—
Total drug cost
$325K
Distinct drugs
49
Brand share
18.1%
Top prescribed drugs
Nifedipine162 claims
Hydralazine Hcl139 claims
Allopurinol130 claims
Furosemide101 claims
Amlodipine Besylate93 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
956
Unique beneficiaries
—
Total services
3,026
Distinct HCPCS
9
Medicare payment
$489K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 985 Nephrology providers in CA — top quintile (cohort median 1,482).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$24
Payment records
1
By payment type
Food and Beverage$24
REFERRAL NETWORK

Where Ileana Helms'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). 33 inbound referrers · 67 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Fernando Otero
Vascular Surgery · Walnut Creek, CA
71937
NPI 125533553552502
Angelo Crudale
Diagnostic Radiology · Walnut Creek, CA
3699
Jonathan Posin
Diagnostic Radiology · Walnut Creek, CA
3593
RENAL TREATMENT CENTERS CALIFORNIA INC.35745
Sunil Gandhi
Diagnostic Radiology · Walnut Creek, CA
3497
CONTRA COSTA COUNTY28175
Lawrence Gluckstein
Anesthesiology · Walnut Creek, CA
2578
Saurabh Patel
Diagnostic Radiology · Walnut Creek, CA
2553
Ayman Hosny
Cardiology · Concord, CA
2458
David Woo
Diagnostic Radiology · Walnut Creek, CA
2478
Eric Chen
Interventional Radiology · Los Angeles, CA
2255
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JOHN MUIR HEALTH100503
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
89422
Sarah Woon
Nephrology · Concord, CA
85472
Fernando Otero
Vascular Surgery · Walnut Creek, CA
72993
NPI 125533553551558
JOHN MUIR HEALTH42209
William Hoddick
Diagnostic Radiology · Walnut Creek, CA
39117
Unilab Corporation
Clinical Laboratory · Sacramento, CA
38174
American Medical Response West
Ambulance Service Provider · Concord, CA
38105
TOTAL RENAL CARE INC36688
Angelo Crudale
Diagnostic Radiology · Walnut Creek, CA
34109
Sunil Gandhi
Diagnostic Radiology · Walnut Creek, CA
3387
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.