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PROVIDER PROFILE · NPI 1356395255

Francisco SotoMD

PRACTICEUNIVERSITY HEALTH SYSTEM, INCSee all providers at this practice →
Pulmonary DiseaseKnoxville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$257
Payment records
9
By payment type
Food and Beverage$257
QUALITY · MIPS · 2024
Final MIPS score
96.5
Quality
86.2
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.90%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
883
Beneficiaries
—
Total drug cost
$2.9M
Distinct drugs
16
Brand share
47.2%
Top prescribed drugs
Torsemide166 claims
Isosorbide Mononitrate116 claims
Tadalafil113 claims
Fluticasone/Umeclidin/Vilanter92 claims
Macitentan88 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
362
Unique beneficiaries
—
Total services
479
Distinct HCPCS
12
Medicare payment
$41K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 254 Pulmonary Disease providers in TN — below median (cohort median 889).
REFERRAL NETWORK

Where Francisco Soto'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). 36 inbound referrers · 54 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Jiannan Zhang
Nurse Practitioner · Sheboygan, WI
81473
Meghan Hanson
Diagnostic Radiology · Green Bay, WI
65229
Louie Coulis
Cardiology · Sheboygan, WI
48157
HENDRICKS, MARK35130
H Matthews
Hematology-Oncology · Sheboygan, WI
31292
Nami Zarvan
Diagnostic Radiology · Green Bay, WI
30106
BIELKE, DENNIS2998
Tyler Bailey
Diagnostic Radiology · Green Bay, WI
2786
James Sladky
Diagnostic Radiology · Green Bay, WI
2743
MATOUSEK, JAN2777
City Of Sheboygan
Ambulance Service Provider · Sheboygan, WI
2645
NPI 13069927972552
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS2611,956
Jiannan Zhang
Nurse Practitioner · Sheboygan, WI
95912
Meghan Hanson
Diagnostic Radiology · Green Bay, WI
60185
Robert Horth
Cardiology · Plymouth, WI
49318
Louie Coulis
Cardiology · Sheboygan, WI
44288
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
42125
Michael Johnson
Internal Medicine · Sheboygan, WI
33278
Tyler Bailey
Diagnostic Radiology · Green Bay, WI
2986
Orange Cross Ambulance Inc
Ambulance Service Provider · Sheboygan, WI
2851
H Matthews
Hematology-Oncology · Sheboygan, WI
27335
Gregory Taylor
Hospitalist · Bloomer, WI
2574
Timothy Enright
Diagnostic Radiology · Mequon, WI
2455
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.