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PROVIDER PROFILE · NPI 1265431126

Todd GouldMD

PRACTICEPREVEA HEALTHSee all providers at this practice →
OphthalmologyGreen Bay, WII
CROSS-REFERENCE

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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 520097
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,989
Beneficiaries
—
Total drug cost
$121K
Distinct drugs
16
Brand share
12.9%
Top prescribed drugs
Prednisolone Acetate562 claims
Ofloxacin474 claims
Latanoprost379 claims
Timolol Maleate178 claims
Erythromycin Base80 claims
REFERRAL NETWORK

Where Todd Gould'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). 6 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS97420
Timothy Enright
Diagnostic Radiology · Mequon, WI
1516
David Kohls
Nurse Practitioner · Green Bay, WI
1424
FENSTER, BRUCE1436
Reginald Julien
Anesthesiology · Green Bay, WI
1236
BAYCARE AURORA, LLC1122
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS82250
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS4290
ST. VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS2636
BELLIN MEMORIAL HOSPITAL INC.2045
David Kohls
Nurse Practitioner · Green Bay, WI
1636
Michael Gruesen
Anesthesiology · Green Bay, WI
1380
Edmund Fangman
Anesthesiology · Green Bay, WI
1254
Jason Hoppe
Internal Medicine · Green Bay, WI
1128
Ian Sproat
Diagnostic Radiology · Green Bay, WI
1128
FENSTER, BRUCE1161
James Sladky
Diagnostic Radiology · Green Bay, WI
1114
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
1,002
Unique beneficiaries
—
Total services
1,236
Distinct HCPCS
11
Medicare payment
$170K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 304 Ophthalmology providers in WI — below median (cohort median 1,730).