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PROVIDER PROFILE · NPI 1265595623

Nicole DietzMD, PHD

PRACTICENEUROLOGY CENTER OF FAIRFAX, LTDSee all providers at this practice →
NeurologyFairfax, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
873
Unique beneficiaries
—
Total services
31,470
Distinct HCPCS
14
Medicare payment
$305K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 393 Neurology providers in VA — top quintile (cohort median 580).
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 497662
Home health agency
CCN 490040
Hospital
CCN 490050
Hospital
CCN 490063
Hospital
CCN 490101
Hospital
REFERRAL NETWORK

Where Nicole Dietz'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 · 17 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
97337
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
3257
Richard Cho
Neurology · Reston, VA
1754
INOVA HEALTH CARE SERVICES1725
Amy Stone
Neurology · Fairfax, VA
1220
SOLSTAS LAB PARTNERS GROUP LLC1154
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1128
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
88218
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
4266
INOVA HEALTH CARE SERVICES4093
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
4083
THE TEMPLE FOUNDATION INC.26133
Inova Health Care Services
Independent Diagnostic Testing Facility (IDTF) · Falls Church, VA
2636
Robert Kurtzke
Neurology · Fairfax, VA
2124
INOVA HEALTH CARE SERVICES2167
Richard Cho
Neurology · Reston, VA
1968
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1846
DOUGLAS AVERY & ASSOCIATES LTD1679
Amy Stone
Neurology · Fairfax, VA
1216
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.
PRESCRIBING · PART D · 2024
Total Rx claims
2,727
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
35
Brand share
55.0%
Top prescribed drugs
Carbidopa/Levodopa586 claims
Gabapentin185 claims
Rasagiline Mesylate183 claims
Carbidopa/Levodopa175 claims
Carbidopa/Levodopa134 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
0.0
Cost
75.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$61
Payment records
4
By payment type
Food and Beverage$61