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PROVIDER PROFILE · NPI 1265426274

Stephen PlantholtM.D.

CardiologyBaltimore, MDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 210008
Hospital
CCN 210043
Hospital
CCN 210063
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,016
Unique beneficiaries
—
Total services
4,290
Distinct HCPCS
17
Medicare payment
$245K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 450 Cardiology providers in MD — above median (cohort median 3,358).
PRESCRIBING · PART D · 2024
Total Rx claims
5,158
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
52
Brand share
34.9%
Top prescribed drugs
Metoprolol Succinate613 claims
Atorvastatin Calcium481 claims
Empagliflozin419 claims
Furosemide326 claims
Apixaban310 claims
REFERRAL NETWORK

Where Stephen Plantholt'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). 75 inbound referrers · 168 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST. AGNES HEALTHCARE, INC.5682,474
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
168429
St. Agnes Healthcare, Inc.
Clinical Laboratory · Baltimore, MD
163406
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
108219
Frederick Kuhn
Cardiology · Baltimore, MD
84146
Vineet Dua
Cardiology · Dalton, GA
78124
Mohammad Naseem
Diagnostic Radiology · Roanoke, VA
73112
Homayoon Moghbeli
Specialist · Baltimore, MD
68109
ALI, SYED6087
Kabir Yousuf
Cardiology · Fleming Island, FL
5491
Folayan Fatade
Interventional Radiology · Orlando, FL
5483
Michael Zatina
Vascular Surgery · Baltimore, MD
4978
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. AGNES HEALTHCARE, INC.3521,642
Jeffrey Cole
Cardiology · Baltimore, MD
171267
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
150350
St. Agnes Healthcare, Inc.
Clinical Laboratory · Baltimore, MD
141347
Russell Hillsley
Clinical Cardiac Electrophysiology · Baltimore, MD
140298
Jules Katz
Diagnostic Radiology · Owings Mills, MD
132213
Syed Husain
Diagnostic Radiology · Baltimore, MD
126204
Adam Frank
Diagnostic Radiology · Warren, MI
123196
Asgar Saleem
Diagnostic Radiology · Baltimore, MD
122230
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
119201
Mohammad Naseem
Diagnostic Radiology · Roanoke, VA
107168
ALI, SYED106147
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.
QUALITY · MIPS · 2024
Final MIPS score
79.1
Quality
56.5
Cost
73.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.17%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
88
By payment type
Food and Beverage$2K
Education$20