What is Paul Durbin's specialty?

Paul Durbin (NPI 1255361218) is a Medicare-billing provider whose primary specialty is Internal Medicine in Racine, WI.

Where does Paul Durbin practice?

Paul Durbin practices in Racine, WI, based on the location reported in the CMS Medicare provider datasets for NPI 1255361218.

How much does Medicare pay Paul Durbin?

Paul Durbin (NPI 1255361218) received approximately $84K in total Medicare Part B payments, serving 347 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1255361218

Paul DurbinM.D.

Internal MedicineRacine, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

734

Unique beneficiaries

—

Total services

1,103

Distinct HCPCS

Medicare payment

$83K

Peer benchmark

Total Medicare services vs. 1,244 Internal Medicine providers in WI — top quintile (cohort median 578).

PRESCRIBING · PART D · 2024

Total Rx claims

14,795

Beneficiaries

—

Total drug cost

$1.3M

Distinct drugs

158

Brand share

19.3%

Top prescribed drugs

Losartan Potassium1,057 claims

Atorvastatin Calcium929 claims

Amlodipine Besylate816 claims

Levothyroxine Sodium640 claims

Rosuvastatin Calcium537 claims

QUALITY · MIPS · 2024

Final MIPS score

75.0

Quality

28.1

Cost

0.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

0.00%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$44

Payment records

By payment type

Food and Beverage$44

Top paying entities

Food and Beverage$44

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

Home health agency

Home health agency

Hospice

Hospice

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Paul Durbin'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). 20 inbound referrers · 46 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.	33	162
Desiree Dizadji Cardiology · Racine, WI	27	144
WENZEL, MARK	23	70
Rosamma John Nurse Practitioner · Racine, WI	21	131
Matthew Larsen Podiatry · Mount Pleasant, WI	20	69
KONTRA, DENNIS	19	51
Stephen Handrich Diagnostic Radiology · Greenfield, WI	19	51
Kelly Schneider Physician Assistant · Burlington, WI	17	95
Robert Hardie Diagnostic Radiology · Greenfield, WI	17	53
Roger Boye Pulmonary Disease · Racine, WI	16	99
Lawrence Platt Ophthalmology · Mount Pleasant, WI	16	56
Robert Breger Diagnostic Radiology · Greenfield, WI	14	65

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ASCENSION ALL SAINTS HOSPITAL, INC	412	6,755
SCHUSTER, THOMAS	47	131
Shariff Attaya Clinical Cardiac Electrophysiology · Mount Pleasant, WI	37	262
Desiree Dizadji Cardiology · Racine, WI	35	236
OLSON, DAVID	34	131
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.	27	145
TIERNEY, JAMES	23	150
Glen Bordak Pathology · Racine, WI	22	72
Lawrence Platt Ophthalmology · Mount Pleasant, WI	21	122
Stephen Handrich Diagnostic Radiology · Greenfield, WI	21	69
Abha Malhotra Cardiology · Racine, WI	21	117
Matthew Larsen Podiatry · Mount Pleasant, WI	20	78

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events