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PROVIDER PROFILE · NPI 1235410515

Kellie Ann GoudreauMS, PA-C

Physician AssistantPortland, MEI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 200009
Hospital
CCN 200034
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
383
Unique beneficiaries
—
Total services
419
Distinct HCPCS
8
Medicare payment
$23K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 825 Physician Assistant providers in ME — top quintile (cohort median 154).
PRESCRIBING · PART D · 2024
Total Rx claims
348
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
12
Brand share
32.8%
Top prescribed drugs
Amoxicillin/Potassium Clav78 claims
Cephalexin53 claims
Prednisone49 claims
Azithromycin32 claims
Doxycycline Hyclate21 claims
QUALITY · MIPS · 2024
Final MIPS score
97.9
Quality
83.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.97%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Kellie Ann Goudreau'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 · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SANTA FE INDIAN HOSPITAL34371
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL20113
Meri Gerling
Family Practice · Taos, NM
13190
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL80403
SANTA FE INDIAN HOSPITAL60614
Meri Gerling
Family Practice · Taos, NM
16254
DEMBY, BRIAN1333
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL13108
SAN JUAN REGIONAL MEDICAL CENTER, INC.1138
GRANT, WAYNE1176
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.