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PROVIDER PROFILE · NPI 1235264169

Toby PaulsonD.O.

CardiologyAmerican Fork, UTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
2,541
Beneficiaries
—
Total drug cost
$380K
Distinct drugs
62
Brand share
36.7%
Top prescribed drugs
Carvedilol167 claims
0.9 % Sodium Chloride146 claims
Atorvastatin Calcium112 claims
Ringer's Solution,lactated109 claims
Sacubitril/Valsartan103 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$4K
Payment records
42
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K
Food and Beverage$817
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 467030
Home health agency
CCN 460001
Hospital
CCN 460011
Hospital
CCN 460023
Hospital
CCN 460051
Hospital
CCN 460052
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,698
Unique beneficiaries
—
Total services
2,234
Distinct HCPCS
27
Medicare payment
$183K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 97 Cardiology providers in UT — above median (cohort median 1,407).
REFERRAL NETWORK

Where Toby Paulson'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). 31 inbound referrers · 59 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 1356569917164422
Kishorbhai Gangani
Internal Medicine · Arlington, TX
99273
Paul Budnick
Emergency Medicine · Payson, AZ
83175
Siddharth Singhal
Internal Medicine · Tucson, AZ
80237
Nagendra Gupta
Hospitalist · Payson, AZ
76227
LESUEUR, CHRISTOPHER44114
Joilo Barbosa
Emergency Medicine · Walla Walla, WA
4080
Mark Solem
Emergency Medicine · Payson, AZ
3759
HARRISON, PATRICK34115
BANNER HEART HOSPITAL3392
Paul Gilbert
Emergency Medicine · Chicago, IL
3069
Shahul Valavoor
Nephrology · Cincinnati, OH
3086
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PAYSON HOSPITAL CORPORATION4401,480
Jeffrey Crosby
Diagnostic Radiology · Payson, AZ
3231,029
NPI 1356569917155295
Sonora Quest Laboratories Llc
Clinical Laboratory · Phoenix, AZ
106304
R M Arizona Holdings Inc
Ambulance Service Provider · Payson, AZ
73153
Kishorbhai Gangani
Internal Medicine · Arlington, TX
73201
Nagendra Gupta
Hospitalist · Payson, AZ
62240
Brent Gear
Emergency Medicine · Phoenix, AZ
54148
Siddharth Singhal
Internal Medicine · Tucson, AZ
54153
LESUEUR, CHRISTOPHER49156
Shahul Valavoor
Nephrology · Cincinnati, OH
46173
NPI 161993723245245
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.