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PROVIDER PROFILE · NPI 1265596761

Sheila FlomM.D.

PRACTICEMNS MEDICAL ASSOCIATESSee all providers at this practice →
Family PracticeVentura, 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 058366
Home health agency
CCN 050159
Hospital
CCN 050236
Hospital
REFERRAL NETWORK

Where Sheila Flom'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). 2 inbound referrers · 3 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COUNTY OF VENTURA2784
SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES1545
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COUNTY OF VENTURA47217
COUNTY OF VENTURA38115
SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES1536
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
61
Unique beneficiaries
—
Total services
62
Distinct HCPCS
3
Medicare payment
$3K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 8,228 Family Practice providers in CA — below median (cohort median 411).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$477
Payment records
29
By payment type
Food and Beverage$477
PRESCRIBING · PART D · 2024
Total Rx claims
2,795
Beneficiaries
—
Total drug cost
$315K
Distinct drugs
78
Brand share
21.5%
Top prescribed drugs
Atorvastatin Calcium197 claims
Metformin Hcl132 claims
Lisinopril115 claims
Gabapentin115 claims
Losartan Potassium114 claims
QUALITY · MIPS · 2024
Final MIPS score
86.0
Quality
64.5
Cost
72.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.46%
Group