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PROVIDER PROFILE · NPI 1265495139

Keith BooneMD

General SurgeryFresno, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 050060
Hospital
CCN 050261
Hospital
CCN 050492
Hospital
REFERRAL NETWORK

Where Keith Boone'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 · 13 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · West Hills, CA
38118
LEWIS, DONALD1953
SAINT AGNES MEDICAL CENTER1624
Hans-Joachim Hildebrandt
Diagnostic Radiology · Fresno, CA
1541
Kelvin Higa
General Surgery · Fresno, CA
1440
Charles Sohn
Cardiology · Fresno, CA
1130
Gabriela Tarau
Diagnostic Radiology · Glenwood Springs, CO
1120
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NPI 169987297896369
Unilab Corporation
Clinical Laboratory · West Hills, CA
33135
Kelvin Higa
General Surgery · Fresno, CA
2283
Kurt Hildebrandt
Diagnostic Radiology · San Diego, CA
1736
NPI 10039892291722
Hans-Joachim Hildebrandt
Diagnostic Radiology · Fresno, CA
1644
JACKSON, ALICE1540
LEWIS, DONALD1326
KAWEAH DELTA HEALTH CARE DISTRICT1326
Unilab Corporation
Clinical Laboratory · Sacramento, CA
1227
SAINT AGNES MEDICAL CENTER1224
Edward Math
Diagnostic Radiology · Fresno, CA
1125
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
180
Unique beneficiaries
—
Total services
198
Distinct HCPCS
6
Medicare payment
$10K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,763 General Surgery providers in CA — above median (cohort median 269).
PRESCRIBING · PART D · 2024
Total Rx claims
185
Beneficiaries
—
Total drug cost
$6K
Distinct drugs
7
Brand share
17.8%
Top prescribed drugs
Pantoprazole Sodium52 claims
Ringer's Solution,lactated33 claims
Omeprazole31 claims
Ondansetron Hcl22 claims
Prochlorperazine Maleate18 claims
QUALITY · MIPS · 2024
Final MIPS score
92.0
Quality
78.6
Cost
75.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.72%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$548
Payment records
6
By payment type
Food and Beverage$548