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PROVIDER PROFILE · NPI 1275635013

Nancy CouncelbaumMD

Internal MedicineIrvine, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 557412
Home health agency
CCN 050224
Hospital
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
4,303
Beneficiaries
—
Total drug cost
$180K
Distinct drugs
69
Brand share
12.9%
Top prescribed drugs
Levothyroxine Sodium452 claims
Atorvastatin Calcium332 claims
Losartan Potassium320 claims
Rosuvastatin Calcium302 claims
Amlodipine Besylate266 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,147
Unique beneficiaries
—
Total services
1,446
Distinct HCPCS
21
Medicare payment
$129K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 10,499 Internal Medicine providers in CA — top quintile (cohort median 531).
REFERRAL NETWORK

Where Nancy Councelbaum'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). 9 inbound referrers · 16 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Cleveland Heartlab Inc
Clinical Laboratory · Cleveland, OH
141873
Unilab Corporation
Clinical Laboratory · West Hills, CA
3064
WAVE IMAGING, LLC1961
Genova Diagnostics Inc
Clinical Laboratory · Asheville, NC
15103
Linda Globerman
Dermatology · Irvine, CA
1436
David Chia
Ophthalmology · Irvine, CA
1425
Stephen Cohen
Cardiology · Santa Ana, CA
1341
Alison Gracom
Physician Assistant · Irvine, CA
1150
NPI 13967426721144
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CALIFORNIA LABORATORY SCIENCES LLC142695
Cleveland Heartlab Inc
Clinical Laboratory · Cleveland, OH
69306
Felice Gersh
Obstetrics & Gynecology · Irvine, CA
67253
HOAG MEMORIAL HOSPITAL PRESBYTERIAN64250
Unilab Corporation
Clinical Laboratory · West Hills, CA
2982
UNIVERSITY OF CALIFORNIA IRVINE20132
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
1966
WAVE IMAGING, LLC1744
NPI 13967426721647
Linda Globerman
Dermatology · Irvine, CA
1541
Lalita Pandit
Hematology-Oncology · Fountain Valley, CA
15146
David Chia
Ophthalmology · Irvine, CA
1325
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.