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PROVIDER PROFILE · NPI 1366467755

Kristi ToenniesNP

Nurse PractitionerDecatur, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
7.0
Cost
61.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
461
Beneficiaries
—
Total drug cost
$58K
Distinct drugs
20
Brand share
21.0%
Top prescribed drugs
Anastrozole74 claims
Potassium Chloride45 claims
Apixaban39 claims
Gabapentin32 claims
Hydroxyurea28 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
102
By payment type
Food and Beverage$2K
Education$316
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
720
Unique beneficiaries
—
Total services
1,196
Distinct HCPCS
3
Medicare payment
$68K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 7,761 Nurse Practitioner providers in IL — top quintile (cohort median 268).
REFERRAL NETWORK

Where Kristi Toennies'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). 31 inbound referrers · 60 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MANALO, JANE GRACE2579,969
ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS2203,012
Neetin Patel
Diagnostic Radiology · Mount Vernon, IL
131771
Prashanth Shekar
Diagnostic Radiology · Springfield, IL
78194
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION70357
Aziz Rahman
Pulmonary Disease · Centralia, IL
69571
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F68654
Rajendra Shroff
Internal Medicine · Centralia, IL
62590
Paul Edwards
Cardiology · Centralia, IL
55318
Miguel Gelman
Diagnostic Radiology · Saint Louis, MO
50132
SODD, ANTHONY48108
QUINN, KENT46139
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MANALO, JANE GRACE24111,207
ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS1492,256
Neetin Patel
Diagnostic Radiology · Mount Vernon, IL
100574
Rajendra Shroff
Internal Medicine · Centralia, IL
64577
Timothy Carmody
Diagnostic Radiology · Santa Monica, CA
63267
Bassam Maalouf
Hematology-Oncology · O Fallon, IL
611,219
Aziz Rahman
Pulmonary Disease · Centralia, IL
56575
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F51539
Irene Dy
Hematology-Oncology · Castro Valley, CA
50554
Prashanth Shekar
Diagnostic Radiology · Springfield, IL
49209
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION47255
QUINN, KENT45124
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.