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PROVIDER PROFILE · NPI 1235101429

Robert SimmsMD

PRACTICEDH SPECIALTY SERVICES LLCSee all providers at this practice →
RheumatologyLebanon, NHI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
79.7
Quality
53.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.20%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 300003
Hospital
CCN 300019
Hospital
CCN 301305
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
921
Beneficiaries
—
Total drug cost
$736K
Distinct drugs
27
Brand share
28.8%
Top prescribed drugs
Methotrexate Sodium139 claims
Prednisone137 claims
Hydroxychloroquine Sulfate105 claims
Mycophenolate Mofetil55 claims
Omeprazole40 claims
REFERRAL NETWORK

Where Robert Simms'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). 3 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BOSTON MEDICAL CENTER CORPORATION88722
Harrison Farber
Pulmonary Disease · Boston, MA
1682
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
1236
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BOSTON MEDICAL CENTER CORPORATION1831,520
Harrison Farber
Pulmonary Disease · Boston, MA
29186
Andrew Kompel
Diagnostic Radiology · Boston, MA
1330
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
1239
Michael Ieong
Pulmonary Disease · Boston, MA
1227
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
208
Unique beneficiaries
—
Total services
333
Distinct HCPCS
3
Medicare payment
$38K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 40 Rheumatology providers in NH — below median (cohort median 595).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.