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PROVIDER PROFILE · NPI 1265480677

Robert ToltzisM.D.

CardiologyNewport, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 180001
Hospital
CCN 180035
Hospital
CCN 180045
Hospital
QUALITY · MIPS · 2024
Final MIPS score
93.0
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
73
By payment type
Food and Beverage$1K
PRESCRIBING · PART D · 2024
Total Rx claims
3,781
Beneficiaries
—
Total drug cost
$827K
Distinct drugs
44
Brand share
36.9%
Top prescribed drugs
Apixaban538 claims
Metoprolol Succinate308 claims
Metoprolol Tartrate235 claims
Carvedilol227 claims
Rivaroxaban219 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,581
Unique beneficiaries
—
Total services
1,784
Distinct HCPCS
15
Medicare payment
$74K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 240 Cardiology providers in KY — below median (cohort median 2,135).
REFERRAL NETWORK

Where Robert Toltzis'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). 93 inbound referrers · 189 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
St Elizabeth Medical Center, Inc
Portable X-Ray Supplier · Edgewood, KY
4421,246
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
223595
Pradeep Amesur
Diagnostic Radiology · Cincinnati, OH
214318
Paul Houlihan
Cardiology · Edgewood, KY
127366
Bellamy Brook
Family Practice · Riverhead, NY
114212
ST ELIZABETH MEDICAL CENTER, INC106259
Kevin Miller
Cardiology · Edgewood, KY
106307
Ralph Huller
Pulmonary Disease · Crestview Hills, KY
92280
Hyun Song
Diagnostic Radiology · Cincinnati, OH
82122
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
81123
Mohan Brar
Cardiology · Edgewood, KY
79184
MARKS, BYRON75153
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
St Elizabeth Medical Center, Inc
Portable X-Ray Supplier · Edgewood, KY
5021,564
Stephen Pomeranz
Diagnostic Radiology · Cincinnati, OH
273409
Kevin Miller
Cardiology · Edgewood, KY
169534
Bellamy Brook
Family Practice · Riverhead, NY
157530
ST ELIZABETH MEDICAL CENTER, INC126282
Mohan Brar
Cardiology · Edgewood, KY
117360
NPI 1811980683110285
Kami Tehrani
Cardiology · Newport, KY
95305
GROVER, RICHARD91416
Paul Houlihan
Cardiology · Edgewood, KY
84187
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
83156
Rural Metro Of Southern Ohio Inc
Ambulance Service Provider · Erlanger, KY
82214
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.