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PROVIDER PROFILE · NPI 1265489264

Michelle GauthierDO

Family PracticePleasant Prairie, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
83.2
Quality
69.4
Cost
74.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.34%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (9)

CCN 527001
Home health agency
CCN 527024
Home health agency
CCN 527083
Home health agency
CCN 527187
Home health agency
CCN 527207
Home health agency
CCN 521502
Hospice
CCN 520021
Hospital
CCN 525556
Nursing home
CCN 525659
Nursing home
PRESCRIBING · PART D · 2024
Total Rx claims
12,123
Beneficiaries
—
Total drug cost
$818K
Distinct drugs
161
Brand share
21.1%
Top prescribed drugs
Levothyroxine Sodium790 claims
Atorvastatin Calcium471 claims
Losartan Potassium461 claims
Amlodipine Besylate427 claims
Omeprazole421 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
864
Unique beneficiaries
—
Total services
1,331
Distinct HCPCS
11
Medicare payment
$86K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,096 Family Practice providers in WI — top quintile (cohort median 478).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
48
By payment type
Food and Beverage$1K
Education$85
Top paying entities
Food and Beverage$1K
Education$85
REFERRAL NETWORK

Where Michelle Gauthier'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). 23 inbound referrers · 43 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FROEDTERT SOUTH, INC.3602,313
Kevin Gelshenen
Diagnostic Radiology · Whitewater, WI
75185
James Tomic
Diagnostic Radiology · Minocqua, WI
65158
Andrew Harron
Diagnostic Radiology · Milwaukee, WI
49148
Ramanuja Manda
Internal Medicine · Kenosha, WI
30112
Aimee Ledesma
Family Practice · Pleasant Prairie, WI
29105
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.2557
Ashwani Sethi
Gastroenterology · Fort Myers, FL
2369
Benjamin Feinzimer
Emergency Medicine · Kenosha, WI
2277
Kevin Fullin
Cardiology · Kenosha, WI
2258
Mario Garretto
Gastroenterology · Kenosha, WI
1747
City Of Kenosha
Ambulance Service Provider · Kenosha, WI
1763
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FROEDTERT SOUTH, INC.2361,299
Shelley Johnson
Nurse Practitioner · Pleasant Prairie, WI
92279
REIF, LAWRENCE61145
Jerome Quets
Diagnostic Radiology · Milwaukee, WI
60172
Stephen Plichta
Diagnostic Radiology · Elmendorf Afb, AK
54137
Michael Price
Diagnostic Radiology · Pleasant Prairie, WI
52143
Kevin Gelshenen
Diagnostic Radiology · Whitewater, WI
48139
PORT, DOUGLAS47113
Andrew Harron
Diagnostic Radiology · Milwaukee, WI
45119
James Tomic
Diagnostic Radiology · Minocqua, WI
4081
Michael Kreager
Cardiology · Kenosha, WI
40148
Aimee Ledesma
Family Practice · Pleasant Prairie, WI
34119
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.