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PROVIDER PROFILE · NPI 1225145543

Kenneth GjeltemaM.D.

Family PracticeMarina, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 057002
Home health agency
CCN 059175
Home health agency
CCN 559775
Home health agency
CCN 050145
Hospital
CCN 050334
Hospital
REFERRAL NETWORK

Where Kenneth Gjeltema'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). 2 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SUTTER EAST BAY HOSPITALS71151
Nina Birnbaum
Family Practice · Albany, CA
1117
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SUTTER MEDICAL CENTER CASTRO VALLEY148376
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA89289
SUTTER EAST BAY HOSPITALS61135
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
35110
Nina Birnbaum
Family Practice · Albany, CA
1936
SUTTER EAST BAY HOSPITALS1833
Wendy Buffett
Family Practice · Berkeley, CA
1725
SIMON, CHRISTINE1539
HO, DREW1422
Thomas Quinn
Cardiology · Oakland, CA
1239
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO1141
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.
PRESCRIBING · PART D · 2024
Total Rx claims
6,510
Beneficiaries
—
Total drug cost
$373K
Distinct drugs
122
Brand share
20.2%
Top prescribed drugs
Atorvastatin Calcium319 claims
Hydrocodone/Acetaminophen295 claims
Levothyroxine Sodium263 claims
Losartan Potassium253 claims
Amlodipine Besylate218 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,297
Unique beneficiaries
—
Total services
2,361
Distinct HCPCS
16
Medicare payment
$112K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 8,228 Family Practice providers in CA — top quintile (cohort median 411).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$27
Payment records
1
By payment type
Food and Beverage$27