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PROVIDER PROFILE · NPI 1265763163

Gretchen Mahaney CaldwellAPN

PRACTICEPRAIRIE CARDIOVASCULAR CONSULTANTS, LTD.See all providers at this practice →
Nurse PractitionerSpringfield, ILI
CROSS-REFERENCE

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QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 140032
Hospital
CCN 140053
Hospital
CCN 140089
Hospital
CCN 141315
Hospital
CCN 141341
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$288
Payment records
7
By payment type
Food and Beverage$288
PRESCRIBING · PART D · 2024
Total Rx claims
2,792
Beneficiaries
—
Total drug cost
$473K
Distinct drugs
31
Brand share
36.1%
Top prescribed drugs
Metoprolol Succinate298 claims
Isosorbide Mononitrate250 claims
Amlodipine Besylate228 claims
Apixaban214 claims
Sacubitril/Valsartan207 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
573
Unique beneficiaries
—
Total services
733
Distinct HCPCS
4
Medicare payment
$57K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 7,761 Nurse Practitioner providers in IL — top quintile (cohort median 268).
REFERRAL NETWORK

Where Gretchen Mahaney Caldwell'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). 35 inbound referrers · 52 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEMORIAL MEDICAL CENTER253847
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F85134
Nasaraiah Nallamothu
Cardiology · Peoria, IL
60188
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
56155
SCHUYLER COUNTY HOSPITAL DISTRICT52107
Kevin Coakley
Diagnostic Radiology · Springfield, IL
2845
Robert Haag
Diagnostic Radiology · Quincy, IL
2473
Joseph Baima
Diagnostic Radiology · Springfield, IL
2457
ABRAHAM LINCOLN MEMORIAL HOSPITAL2187
Casey Muehle
Diagnostic Radiology · Springfield, IL
2130
Marisa Blitstein
Diagnostic Radiology · Springfield, IL
2140
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION2044
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MEMORIAL MEDICAL CENTER198583
Gabor Matos
Interventional Cardiology · Peoria, IL
164547
Nasaraiah Nallamothu
Cardiology · Peoria, IL
123251
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F84137
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
57155
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD2659
SCHUYLER COUNTY HOSPITAL DISTRICT2659
Mansura Ghani
Cardiology · Springfield, IL
2536
Brian Miller
Clinical Cardiac Electrophysiology · Springfield, IL
2439
Steven O'marro
Infectious Disease · Springfield, IL
24211
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION2138
Kevin Coakley
Diagnostic Radiology · Springfield, IL
2040
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.