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PROVIDER PROFILE · NPI 1255623146

Emily ClausenMD

Pulmonary DiseaseMaywood, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 140276
Hospital
CCN 390111
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
279
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
9
Brand share
29.4%
Top prescribed drugs
Azithromycin81 claims
Elexacaftor/Tezacaftor/Ivacaft49 claims
Prednisone36 claims
Montelukast Sodium31 claims
Sulfamethoxazole/Trimethoprim21 claims
QUALITY · MIPS · 2024
Final MIPS score
84.9
Quality
73.6
Cost
76.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.42%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
209
Unique beneficiaries
—
Total services
461
Distinct HCPCS
9
Medicare payment
$48K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 434 Pulmonary Disease providers in IL — below median (cohort median 957).
REFERRAL NETWORK

Where Emily Clausen'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). 7 inbound referrers · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
19183
Glenn Andrews
Diagnostic Radiology · Pittsburgh, PA
1887
Rachel Givelber
Pulmonary Disease · Pittsburgh, PA
18123
Elliott Gozansky
Diagnostic Radiology · Birmingham, AL
1572
Matthew Gingo
Pulmonary Disease · Pittsburgh, PA
12146
Phillip Lamberty
Pulmonary Disease · Pittsburgh, PA
11226
John Kreit
Pulmonary Disease · Pittsburgh, PA
1176
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC PRESBYTERIAN SHADYSIDE77198
Iclal Ocak
Diagnostic Radiology · Chicago, IL
27123
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
26205
NPI 171095084526169
Glenn Andrews
Diagnostic Radiology · Pittsburgh, PA
24185
Joan Lacomis
Diagnostic Radiology · Pittsburgh, PA
1888
Elliott Gozansky
Diagnostic Radiology · Birmingham, AL
17112
Peter Davis
Diagnostic Radiology · Pittsburgh, PA
15104
Rachel Givelber
Pulmonary Disease · Pittsburgh, PA
1582
Constance Jennings
Pulmonary Disease · Pittsburgh, PA
15244
John Kreit
Pulmonary Disease · Pittsburgh, PA
13136
UPMC HOME HEALTHCARE OF WESTERN PA1230
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.