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PROVIDER PROFILE · NPI 1306122163

Paul EdwardsMD

CardiologyCentralia, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 160146
Hospital
CCN 161362
Hospital
CCN 280013
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
518
Unique beneficiaries
—
Total services
638
Distinct HCPCS
6
Medicare payment
$41K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 686 Cardiology providers in IL — bottom quintile (cohort median 2,422).
PRESCRIBING · PART D · 2024
Total Rx claims
719
Beneficiaries
—
Total drug cost
$63K
Distinct drugs
20
Brand share
22.9%
Top prescribed drugs
Amlodipine Besylate102 claims
Metoprolol Succinate100 claims
Atorvastatin Calcium78 claims
Losartan Potassium49 claims
Apixaban48 claims
QUALITY · MIPS · 2024
Final MIPS score
78.7
Quality
76.5
Cost
71.8
Improvement activities
40.0
Promoting interop.
77.0
Payment adjustment
0.16%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Paul Edwards'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). 63 inbound referrers · 117 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS9544,562
Neetin Patel
Diagnostic Radiology · Mount Vernon, IL
4341,697
Aziz Rahman
Pulmonary Disease · Centralia, IL
2562,058
Rajendra Shroff
Internal Medicine · Centralia, IL
2122,069
Lifestar Ambulance Service,inc.
Ambulance Service Provider · Centralia, IL
157552
Maria Galanos
Emergency Medicine · O Fallon, IL
140413
Miguel Gelman
Diagnostic Radiology · Saint Louis, MO
116300
QUINN, KENT110322
Niranjan Shrestha
Family Practice · Centralia, IL
108759
Faron Fox
Emergency Medicine · O Fallon, IL
106337
Prashanth Shekar
Diagnostic Radiology · Springfield, IL
99341
SODD, ANTHONY99260
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS5672,574
Naeem Khan
Cardiology · Centralia, IL
3642,424
Neetin Patel
Diagnostic Radiology · Mount Vernon, IL
2681,052
Aziz Rahman
Pulmonary Disease · Centralia, IL
2171,861
Timothy Carmody
Diagnostic Radiology · Santa Monica, CA
211608
Lifestar Ambulance Service,inc.
Ambulance Service Provider · Centralia, IL
178730
Rajendra Shroff
Internal Medicine · Centralia, IL
1701,479
James Schutzenhofer
Internal Medicine · Centralia, IL
134885
Suresh Krishnamoorthy
Internal Medicine · Centralia, IL
1311,631
Sajjan Nemani
Neurology · Maryville, IL
117460
Niranjan Shrestha
Family Practice · Centralia, IL
110824
QUINN, KENT109340
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.