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PROVIDER PROFILE · NPI 1326121534

Rachel PaulsMD

PRACTICETRIHEALTH W. LLCSee all providers at this practice →
Obstetrics & GynecologyWest Chester, OHI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Rachel Pauls'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). 1 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BETHESDA HOSPITAL INC70263
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BETHESDA HOSPITAL INC108443
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO53270
PROFESSIONAL PHYSICAL THERAPY SERVICES, INC26305
Cheryl Davis
Nurse Practitioner · Cincinnati, OH
15147
CHRIST HOSPITAL1236
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,653
Beneficiaries
—
Total drug cost
$280K
Distinct drugs
20
Brand share
43.4%
Top prescribed drugs
Solifenacin Succinate369 claims
Estradiol269 claims
Mirabegron229 claims
Nitrofurantoin Monohyd/M-Cryst126 claims
Fesoterodine Fumarate107 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 360134
Hospital
CCN 360179
Hospital
QUALITY · MIPS · 2024
Final MIPS score
93.0
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.76%
APM Entity
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
921
Unique beneficiaries
—
Total services
2,179
Distinct HCPCS
19
Medicare payment
$116K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 974 Obstetrics & Gynecology providers in OH — top quintile (cohort median 83).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$313
Payment records
6
By payment type
Food and Beverage$313