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PROVIDER PROFILE · NPI 1356457063

Mark DerlethM.D.

GastroenterologySeattle, WAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Mark Derleth'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 · 2 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF WASHINGTON140595
Maria Westerhoff
Pathology · Ann Arbor, MI
3276
YEH, MENG-CHE2253
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF WASHINGTON73291
TRUONG, CAMTU DO1751
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
152
Unique beneficiaries
—
Total services
162
Distinct HCPCS
6
Medicare payment
$16K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 359 Gastroenterology providers in WA — bottom quintile (cohort median 511).
PRESCRIBING · PART D · 2024
Total Rx claims
275
Beneficiaries
—
Total drug cost
$713K
Distinct drugs
9
Brand share
58.5%
Top prescribed drugs
Omeprazole67 claims
Famotidine34 claims
Linaclotide31 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl29 claims
Naloxegol Oxalate24 claims
QUALITY · MIPS · 2024
Final MIPS score
93.8
Quality
74.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.79%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.