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PROVIDER PROFILE · NPI 1285634733

Michael Fallert

CardiologyPittsburgh, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 390028
Hospital
CCN 390107
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
878
Unique beneficiaries
—
Total services
972
Distinct HCPCS
10
Medicare payment
$38K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,062 Cardiology providers in PA — below median (cohort median 1,995).
PRESCRIBING · PART D · 2024
Total Rx claims
2,399
Beneficiaries
—
Total drug cost
$645K
Distinct drugs
31
Brand share
24.4%
Top prescribed drugs
Atorvastatin Calcium285 claims
Apixaban211 claims
Carvedilol208 claims
Sacubitril/Valsartan159 claims
Rosuvastatin Calcium143 claims
QUALITY · MIPS · 2024
Final MIPS score
80.9
Quality
61.9
Cost
74.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.25%
Group
REFERRAL NETWORK

Where Michael Fallert'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). 16 inbound referrers · 40 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UPMC PASSAVANT113381
GATES, ROBERT48122
Beatrice Carlin
Diagnostic Radiology · Pittsburgh, PA
38111
Bryan Robertson
Cardiology · Pittsburgh, PA
34113
Matthew Suffoletto
Cardiology · Pittsburgh, PA
34112
Robert Peard
Diagnostic Radiology · Pittsburgh, PA
3479
SCALERCIO, ANTHONY2770
Margaret Miller
Diagnostic Radiology · Pittsburgh, PA
2672
Chhaganlal Ladani
Cardiology · Mc Kees Rocks, PA
1834
Jeff Krackow
Cardiology · Pittsburgh, PA
1752
Holt Murray
Critical Care (Intensivists) · Pittsburgh, PA
1548
Raucheline Akindele
Diagnostic Radiology · Pittsburgh, PA
1323
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC MERCY74143
UPMC PASSAVANT43158
Christopher Wentz
Cardiology · Pittsburgh, PA
43147
NPI 173016074836117
John Ward
Cardiology · Pittsburgh, PA
3594
Robert Peard
Diagnostic Radiology · Pittsburgh, PA
3473
KARR, STEVEN34113
Beatrice Carlin
Diagnostic Radiology · Pittsburgh, PA
33109
UPMC HOME HEALTHCARE OF WESTERN PA3045
Roy Landfair
Internal Medicine · Pittsburgh, PA
29121
Bryan Robertson
Cardiology · Pittsburgh, PA
2885
GATES, ROBERT2684
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
Total received
$13
Payment records
1
By payment type
Food and Beverage$13