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PROVIDER PROFILE · NPI 1396073037

Roberto MonarezMD

Family PracticeSpringfield, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
85.8
Quality
74.4
Cost
78.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
99
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
6
Brand share
0.0%
Top prescribed drugs
Pantoprazole Sodium29 claims
Prednisone18 claims
Metoprolol Succinate14 claims
Sucralfate14 claims
Doxycycline Hyclate12 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
418
Unique beneficiaries
—
Total services
710
Distinct HCPCS
7
Medicare payment
$46K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,486 Family Practice providers in MO — above median (cohort median 536).
REFERRAL NETWORK

Where Roberto Monarez'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). 72 inbound referrers · 131 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LESTER E COX MEDICAL CENTERS6102,567
LESTER E COX MEDICAL CENTERS196581
Mark Anderson
Interventional Cardiology · Springfield, MO
131387
Danny Penick
Interventional Cardiology · Springfield, MO
127489
Norman Ely
Diagnostic Radiology · Springfield, MO
120292
HAWKINS, CALVIN103351
Martin Anbari
Interventional Radiology · Springfield, MO
100309
Eric Nelson
Diagnostic Radiology · Springfield, MO
84255
Anthony Divito
Diagnostic Radiology · Springfield, MO
80228
Arijit Chowdhury
Internal Medicine · Springfield, MO
68264
Brian Rekus
Internal Medicine · Fayetteville, AR
64316
Emmanuel Akosah
Internal Medicine · Springfield, MO
62252
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
LESTER E COX MEDICAL CENTERS247946
James Ceaser
Interventional Cardiology · Springfield, MO
137296
BROADDUS, LOREN136255
LESTER E COX MEDICAL CENTERS135395
HAWKINS, CALVIN119315
MERCY HOSPITAL SPRINGFIELD88202
NPI 176042517787176
Stephen Kuehn
Interventional Cardiology · Washington, MO
86201
Joseph Mailloux
Diagnostic Radiology · Springfield, MO
83135
Emmanuel Akosah
Internal Medicine · Springfield, MO
69247
Shawn Usery
Family Practice · Springfield, MO
69362
Arijit Chowdhury
Internal Medicine · Springfield, MO
69242
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.