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PROVIDER PROFILE · NPI 1316029143

Andrew Guminski

PRACTICEWEST BEND CLINICSee all providers at this practice →
Internal MedicineWest Bend, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 521578
Hospice
CCN 521579
Hospice
CCN 520076
Hospital
REFERRAL NETWORK

Where Andrew Guminski'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 · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.2251
PREISLER, GARY2037
Timothy Workman
Diagnostic Radiology · Mequon, WI
1746
Charles Sammis
Family Practice · West Bend, WI
1437
Chad Hoitink
Ophthalmology · Milwaukee, WI
1224
CHHABRIA, PRAKASH1224
ROZRAN, RICHARD1227
Jeffery Smale
Pulmonary Disease · West Bend, WI
1239
Mark Nunag
Nephrology · West Bend, WI
1168
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Patrick Gardner
Pathology · West Bend, WI
127667
ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC.91333
Wisconsin Diagnostic Laboratories Llc
Clinical Laboratory · Milwaukee, WI
2551
ACETO, JAMES2265
Charles Sammis
Family Practice · West Bend, WI
2153
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.2042
Chad Hoitink
Ophthalmology · Milwaukee, WI
1847
Aaron Hendon
Diagnostic Radiology · Milwaukee, WI
1642
Gregg Moral
Diagnostic Radiology · Mequon, WI
1543
Djerrick Tan
Diagnostic Radiology · Mequon, WI
1237
Shobha Desai
Nuclear Medicine · Mequon, WI
1217
Steven Ullrick
Diagnostic Radiology · Albany, GA
1240
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
120
Unique beneficiaries
—
Total services
155
Distinct HCPCS
3
Medicare payment
$11K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,244 Internal Medicine providers in WI — bottom quintile (cohort median 578).
PRESCRIBING · PART D · 2024
Total Rx claims
3,964
Beneficiaries
—
Total drug cost
$265K
Distinct drugs
95
Brand share
18.4%
Top prescribed drugs
Atorvastatin Calcium214 claims
Losartan Potassium182 claims
Amlodipine Besylate156 claims
Metoprolol Succinate152 claims
Gabapentin150 claims
QUALITY · MIPS · 2024
Final MIPS score
78.6
Quality
56.0
Cost
72.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.15%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.