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PROVIDER PROFILE · NPI 1356390884

Theodore HubleyMD

Pulmonary DiseaseMilwaukee, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,252
Unique beneficiaries
—
Total services
1,690
Distinct HCPCS
18
Medicare payment
$90K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 192 Pulmonary Disease providers in WI — top quintile (cohort median 693).
PRESCRIBING · PART D · 2024
Total Rx claims
2,307
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
41
Brand share
63.9%
Top prescribed drugs
Albuterol Sulfate285 claims
Prednisone210 claims
Budesonide/Formoterol Fumarate188 claims
Fluticasone/Umeclidin/Vilanter178 claims
Fluticasone Propion/Salmeterol113 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Theodore Hubley'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). 35 inbound referrers · 50 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.126627
DRAKE, NEIL73187
Kiran Kashyap
Cardiology · Menomonee Falls, WI
34121
Timothy Workman
Diagnostic Radiology · Mequon, WI
30110
Vijay Bandhakavi
Pulmonary Disease · La Crosse, WI
2864
Mark Lodes
Internal Medicine · Milwaukee, WI
2865
Djerrick Tan
Diagnostic Radiology · Mequon, WI
2669
CHHABRIA, PRAKASH2466
Scott Erickson
Diagnostic Radiology · Milwaukee, WI
2264
KIM, MITCHEL2142
Timothy Ripple
Diagnostic Radiology · Rhinelander, WI
2140
Nilesh Gupta
Pulmonary Disease · Menomonee Falls, WI
2090
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC136607
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.102437
Wisconsin Diagnostic Laboratories Llc
Clinical Laboratory · Milwaukee, WI
76335
DRAKE, NEIL66162
LANE, JOHN47191
A2cl Services, Llc
Clinical Laboratory · West Allis, WI
43169
AURORA HEALTH CARE METRO, INC.36197
Kiran Kashyap
Cardiology · Menomonee Falls, WI
2976
Timothy Workman
Diagnostic Radiology · Mequon, WI
29125
Ramin Golchini
Diagnostic Radiology · Mequon, WI
29103
Mark Lodes
Internal Medicine · Milwaukee, WI
2759
Timothy Ripple
Diagnostic Radiology · Rhinelander, WI
2444
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
$19
Payment records
1
By payment type
Food and Beverage$19