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PROVIDER PROFILE · NPI 1336237411

Helmut PfalzMD

General SurgeryPrince Frederick, MDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
647
Unique beneficiaries
—
Total services
763
Distinct HCPCS
12
Medicare payment
$103K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 392 General Surgery providers in MD — top quintile (cohort median 348).
REFERRAL NETWORK

Where Helmut Pfalz'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). 3 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CALVERTHEALTH MEDICAL CENTER, INC.87238
Varkey Mathew
Cardiology · Huntingtown, MD
2676
Cassius Belfonte
Cardiology · Prince Frederick, MD
1139
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CALVERTHEALTH MEDICAL CENTER, INC.91487
Nancy Ulanowicz
Pathology · Prince Frederick, MD
33143
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
3161
Jeffrey Grand
Certified Registered Nurse Anesthetist (CRNA) · Prince Frederick, MD
30139
Varkey Mathew
Cardiology · Huntingtown, MD
2428
Brian Brune
Diagnostic Radiology · Prince Frederick, MD
2041
Glenn Selman
Diagnostic Radiology · Gainesville, FL
1937
Cassius Belfonte
Cardiology · Prince Frederick, MD
1427
MARINO, VICTORIA1349
Jeffery Viken
Anesthesiology · Prince Frederick, MD
1347
David Trimble
Anesthesiology · Prince Frederick, MD
1354
NUSKIND, ROBIN1321
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
48
Beneficiaries
—
Total drug cost
$119
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Hydrocodone/Acetaminophen48 claims
QUALITY · MIPS · 2024
Final MIPS score
86.5
Quality
74.5
Cost
81.2
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.48%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.