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PROVIDER PROFILE · NPI 1225189780

Rachel ToneyMD

GastroenterologyPittsburgh, PAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 390050
Hospital
CCN 390090
Hospital
CCN 390265
Hospital
CCN 390267
Hospital
CCN 390334
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
203
Unique beneficiaries
—
Total services
215
Distinct HCPCS
8
Medicare payment
$22K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 771 Gastroenterology providers in PA — bottom quintile (cohort median 585).
PRESCRIBING · PART D · 2024
Total Rx claims
697
Beneficiaries
—
Total drug cost
$80K
Distinct drugs
12
Brand share
49.8%
Top prescribed drugs
Peg3350/Sod Sulf,bicarb,cl/Kcl157 claims
Omeprazole122 claims
Linaclotide97 claims
Pantoprazole Sodium94 claims
Sodium, Potassium,mag Sulfates62 claims
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
85.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$255
Payment records
7
By payment type
Food and Beverage$255
REFERRAL NETWORK

Where Rachel Toney'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). 28 inbound referrers · 36 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PIEDMONT HENRY HOSPITAL, INC.77139
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3970
David Bodne
Diagnostic Radiology · Brooks, GA
2044
Clayton County Board Of Commissioners
Ambulance Service Provider · Jonesboro, GA
2040
Balu Mani
Diagnostic Radiology · Riverdale, GA
2050
Daniel Faith
Diagnostic Radiology · Newnan, GA
1836
NORTHSIDE HOSPITAL, INC.1826
Paul Panzarella
Gastroenterology · Maitland, FL
1752
Brandi Patrickson
Internal Medicine · Atlanta, GA
1732
Hitesh Chokshi
Gastroenterology · Stockbridge, GA
1743
George Stone
Diagnostic Radiology · Newnan, GA
1740
Rajeswari Natarajan
Internal Medicine · Atlanta, GA
1736
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FAYETTE COMMUNITY HOSPITAL, INC.79223
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
5192
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
3865
NORTHSIDE HOSPITAL, INC.3883
Mark Edge
Gastroenterology · Stockbridge, GA
3592
PIEDMONT HENRY HOSPITAL, INC.2951
Southern Crescent Endoscopy Suite, Pc
Ambulatory Surgical Center · Stockbridge, GA
2754
SOUTHERN REGIONAL HEALTH SYSTEM, INC2645
Paul Panzarella
Gastroenterology · Maitland, FL
2344
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
2254
Christopher Brown
Gastroenterology · Stockbridge, GA
2066
Joel Webber
Diagnostic Radiology · Riverdale, GA
2045
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.