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PROVIDER PROFILE · NPI 1255594537

Freddy CalderaD.O.

GastroenterologyMadison, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 520089
Hospital
CCN 520098
Hospital
CCN 520109
Hospital
QUALITY · MIPS · 2024
Final MIPS score
83.3
Quality
87.8
Cost
75.8
Improvement activities
40.0
Promoting interop.
77.0
Payment adjustment
0.35%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
657
Beneficiaries
—
Total drug cost
$3.0M
Distinct drugs
18
Brand share
70.8%
Top prescribed drugs
Peg3350/Sod Sulf,bicarb,cl/Kcl147 claims
Ustekinumab77 claims
Diphenoxylate Hcl/Atropine59 claims
Budesonide45 claims
Omeprazole44 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$11K
Payment records
12
By payment type
Consulting Fee$9K
Travel and Lodging$1K
Food and Beverage$776
REFERRAL NETWORK

Where Freddy Caldera'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 · 8 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kristina Matkowskyj
Pathology · Rochester, MN
3262
Igor Slukvin
Pathology · Madison, WI
1528
MERITER HOSPITAL, INC.1339
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY2041,089
Rashmi Agni
Pathology · Madison, WI
2450
Craig January
Clinical Cardiac Electrophysiology · Madison, WI
1541
Agnes Loeffler
Pathology · Cleveland, OH
1430
Jeffrey Kanne
Diagnostic Radiology · Madison, WI
1328
Jesse Lloyd
Pathology · Madison, WI
1329
Darya Buehler
Pathology · Madison, WI
1235
Christopher Francois
Diagnostic Radiology · Rochester, MN
1123
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
224
Unique beneficiaries
—
Total services
242
Distinct HCPCS
8
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 249 Gastroenterology providers in WI — below median (cohort median 484).