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PROVIDER PROFILE · NPI 1386696318

Ly GauDO

Internal MedicineKailua-Kona, HII
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Ly Gau'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). 5 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Laboratories Of Hawaii Llp
Clinical Laboratory · Ewa Beach, HI
132796
Diagnostic Laboratory Services, Inc
Clinical Laboratory · Aiea, HI
28132
Joy Mcelroy
Dermatology · Kailua Kona, HI
2331
Douglas Sides
Interventional Radiology · Hilo, HI
2157
Kimberly Madsen
Ophthalmology · Federal Way, WA
1533
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Clinical Laboratories Of Hawaii Llp
Clinical Laboratory · Ewa Beach, HI
107583
KONA HOSPITAL41146
Lori Wilhelm
Diagnostic Radiology · Kailua Kona, HI
3966
Douglas Sides
Interventional Radiology · Hilo, HI
3174
Diagnostic Laboratory Services, Inc
Clinical Laboratory · Aiea, HI
2285
Robert Saito
Diagnostic Radiology · Kailua-Kona, HI
2236
Joy Mcelroy
Dermatology · Kailua Kona, HI
1624
Lawrence Derbes
Cardiology · Sandpoint, ID
1636
OKA, LORELI1434
Deen Wong
Pathology · Kealakekua, HI
1227
Mark Senft
Podiatry · Kailua Kona, HI
1221
Susan Senft
Ophthalmology · Kailua Kona, HI
1121
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
589
Unique beneficiaries
—
Total services
851
Distinct HCPCS
10
Medicare payment
$49K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 453 Internal Medicine providers in HI — top quintile (cohort median 450).
PRESCRIBING · PART D · 2024
Total Rx claims
3,181
Beneficiaries
—
Total drug cost
$416K
Distinct drugs
73
Brand share
20.2%
Top prescribed drugs
Atorvastatin Calcium307 claims
Amlodipine Besylate252 claims
Losartan Potassium238 claims
Levothyroxine Sodium184 claims
Lisinopril137 claims
QUALITY · MIPS · 2024
Final MIPS score
97.0
Quality
89.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.93%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$260
Payment records
2
By payment type
Food and Beverage$260