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PROVIDER PROFILE · NPI 1245410588

Michael KoontzMD

Medical OncologyMonterey, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$18
Payment records
1
By payment type
Food and Beverage$18
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
98.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
376
Beneficiaries
—
Total drug cost
$417K
Distinct drugs
17
Brand share
20.7%
Top prescribed drugs
Prednisone77 claims
Abiraterone Acetate44 claims
Levothyroxine Sodium27 claims
Epoetin Alfa22 claims
Ondansetron Hcl21 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

CCN 057002
Home health agency
CCN 051501
Hospice
CCN 051713
Hospice
CCN 050145
Hospital
CCN 050334
Hospital
CCN 050441
Hospital
CCN 051337
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
4,314
Unique beneficiaries
—
Total services
161,486
Distinct HCPCS
61
Medicare payment
$1.9M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 268 Medical Oncology providers in CA — top quintile (cohort median 1,130).
REFERRAL NETWORK

Where Michael Koontz'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). 27 inbound referrers · 51 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Roger Shiffman
Internal Medicine · Monterey, CA
84640
Andrew Schmidt
Diagnostic Radiology · Monterey, CA
75432
Robert Gardner
Diagnostic Radiology · Monterey, CA
67485
Anthony Filly
Diagnostic Radiology · Carmel, CA
65368
Joan Frisoli
Diagnostic Radiology · Monterey, CA
65474
Cary Yeh
Diagnostic Radiology · Monterey, CA
60320
NPI 102318296159477
Ernst Hansch
Diagnostic Radiology · Edina, MN
54321
Jeffrey Keating
Pathology · Monterey, CA
30182
Susan Roux
Diagnostic Radiology · Newport Beach, CA
2454
David Gardner
Pathology · Monterey, CA
2493
American Medical Response West
Ambulance Service Provider · Salinas, CA
23100
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA3106,849
John Hausdorff
Hospice and Palliative Care · Monterey, CA
96779
Robert Gardner
Diagnostic Radiology · Monterey, CA
69395
Unilab Corporation
Clinical Laboratory · San Jose, CA
691,037
Roger Shiffman
Internal Medicine · Monterey, CA
67647
Andrew Schmidt
Diagnostic Radiology · Monterey, CA
61367
Anthony Filly
Diagnostic Radiology · Carmel, CA
58316
Ernst Hansch
Diagnostic Radiology · Edina, MN
57284
Cary Yeh
Diagnostic Radiology · Monterey, CA
55269
NPI 102318296153437
Daniel Hightower
Family Practice · Monterey, CA
52275
Joan Frisoli
Diagnostic Radiology · Monterey, CA
50321
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.