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PROVIDER PROFILE · NPI 1386832855

John KefalasM.D.

PRACTICEJOHN C. KEFALAS, M.D.,S.C.See all providers at this practice →
Orthopedic SurgeryDecatur, ILI
CROSS-REFERENCE

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QUALITY · MIPS · 2024
Final MIPS score
28.4
Quality
15.0
Cost
74.8
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.59%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$957
Payment records
11
By payment type
Travel and Lodging$525
Food and Beverage$432
PRESCRIBING · PART D · 2024
Total Rx claims
615
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
11
Brand share
23.3%
Top prescribed drugs
Tramadol Hcl152 claims
Hydrocodone/Acetaminophen120 claims
Meloxicam98 claims
Celecoxib84 claims
Gabapentin54 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,413
Unique beneficiaries
—
Total services
7,424
Distinct HCPCS
29
Medicare payment
$265K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 749 Orthopedic Surgery providers in IL — top quintile (cohort median 1,820).
REFERRAL NETWORK

Where John Kefalas'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). 39 inbound referrers · 79 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER3071,203
Cami Kistenfeger
Physician Assistant · South Bend, IN
222581
Bruce Linder
Diagnostic Radiology · Lisle, IL
87340
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
75314
DECATUR AMBULANCE SERVICE, INC.67170
Rebecca Baggett
Diagnostic Radiology · Springfield, IL
45105
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
3986
Adam Zorn
Diagnostic Radiology · Milwaukee, WI
3781
PANA COMMUNITY HOSPITAL ASSOCIATION3576
James Brumit
Diagnostic Radiology · Knoxville, TN
3382
Hamid Sagha
Emergency Medicine · Decatur, IL
3177
Michael Choi
Pathology · Decatur, IL
29100
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER252934
DECATUR MEMORIAL HOSPITAL2211,369
JOHN C. KEFALAS, M.D.,S.C.166466
Cami Kistenfeger
Physician Assistant · South Bend, IN
114208
Jeffrey Cullen
Diagnostic Radiology · Springfield, IL
82157
PANA COMMUNITY HOSPITAL ASSOCIATION79649
Bruce Linder
Diagnostic Radiology · Lisle, IL
70140
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
52147
Jonathan Locke
Diagnostic Radiology · Decatur, IL
50116
PATEL, KRISHAN5094
Mark Muscato
Diagnostic Radiology · Decatur, IL
4185
Luis Caceres
Cardiology · Decatur, IL
40126
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.