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PROVIDER PROFILE · NPI 1356632947

Karen SongMD

Obstetrics & GynecologySan Luis Obispo, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Karen Song'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
JOHN FITZGIBBON MEMORIAL HOSPITAL INC.58200
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1960
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
1229
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JOHN FITZGIBBON MEMORIAL HOSPITAL INC.37157
JOHN FITZGIBBON MEMORIAL HOSPITAL INC.1455
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
240
Beneficiaries
—
Total drug cost
$17K
Distinct drugs
4
Brand share
46.7%
Top prescribed drugs
Estradiol117 claims
Estradiol39 claims
Progesterone, Micronized37 claims
Valacyclovir Hcl20 claims
Estradiol16 claims
QUALITY · MIPS · 2024
Final MIPS score
99.6
Quality
86.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.04%
APM Entity
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
190
Unique beneficiaries
—
Total services
241
Distinct HCPCS
6
Medicare payment
$18K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,761 Obstetrics & Gynecology providers in CA — top quintile (cohort median 118).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.