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PROVIDER PROFILE · NPI 1225060346

Byron SimmonsMD

PathologyMaplewood, MNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 240078
Hospital
CCN 240080
Hospital
CCN 240210
Hospital
CCN 240213
Hospital
REFERRAL NETWORK

Where Byron Simmons'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). 24 inbound referrers · 38 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HEALTHEAST ST JOSEPHS HOSPITAL142280
HEALTHEAST ST. JOHN'S HOSPITAL101160
HEALTHEAST WOODWINDS HOSPITAL3148
AMERY REGIONAL MEDICAL CENTER, INC30205
Steven Hommeyer
Diagnostic Radiology · Roseville, MN
2637
Kim Loria
Cardiology · Saint Paul, MN
2137
Dominic Frecentese
Diagnostic Radiology · Roseville, MN
1822
Leslie Forgosh
Cardiology · Saint Paul, MN
1823
Kendall Price
Pathology · Woodbury, MN
1729
Alexandra Muschenheim
Diagnostic Radiology · Roseville, MN
1724
Ronald Reilkoff
Critical Care (Intensivists) · Minneapolis, MN
1530
Paul Mulcahy
Diagnostic Radiology · Roseville, MN
1522
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HEALTHEAST ST. JOHN'S HOSPITAL148263
HEALTHEAST ST JOSEPHS HOSPITAL79144
Kendall Price
Pathology · Woodbury, MN
3245
HEALTHEAST WOODWINDS HOSPITAL3046
James Shanks
Hematology-Oncology · Maplewood, MN
2893
Mark Veldman
Diagnostic Radiology · Roseville, MN
2638
Steven Hommeyer
Diagnostic Radiology · Roseville, MN
2437
Anuradha Tummala
Diagnostic Radiology · Roseville, MN
2332
HEALTHEAST CARE SYSTEM2329
Paul Mulcahy
Diagnostic Radiology · Roseville, MN
1929
Christine Lange
Cardiology · Saint Paul, MN
1932
BRETZKE, CARL1823
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
854
Unique beneficiaries
—
Total services
1,555
Distinct HCPCS
20
Medicare payment
$38K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 327 Pathology providers in MN — above median (cohort median 1,032).
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
88.6
Quality
75.4
Cost
75.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.57%
Group