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PROVIDER PROFILE · NPI 1396710869

John Raffensperger

PRACTICEUPMC COMMUNITY MEDICINE INCSee all providers at this practice →
Pulmonary DiseasePittsburgh, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$120
Payment records
1
By payment type
Food and Beverage$120
QUALITY · MIPS · 2024
Final MIPS score
83.8
Quality
70.5
Cost
75.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.37%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
956
Beneficiaries
—
Total drug cost
$333K
Distinct drugs
14
Brand share
87.1%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter305 claims
Albuterol Sulfate215 claims
Fluticasone Propion/Salmeterol74 claims
Fluticasone Propionate52 claims
Fluticasone/Vilanterol47 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
499
Unique beneficiaries
—
Total services
840
Distinct HCPCS
11
Medicare payment
$78K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — above median (cohort median 707).
REFERRAL NETWORK

Where John Raffensperger'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). 53 inbound referrers · 80 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
RAMESH, MAKUM123468
Sidhartha Chaudhry
Diagnostic Radiology · Pittsburgh, PA
105421
Mitchell Patti
Pulmonary Disease · Pittsburgh, PA
99527
Edward Ma
Diagnostic Radiology · Pittsburgh, PA
97404
Patricia Castelli
Diagnostic Radiology · Pittsburgh, PA
95413
LACKNER, DAVID81357
COUNIHAN, PETER62220
Jeffrey Cohen
Cardiology · Pittsburgh, PA
52149
Michael Curren
Cardiology · Pittsburgh, PA
51207
Micah Jacobs
Infectious Disease · Pittsburgh, PA
41252
Raymond Pontzer
Infectious Disease · Pittsburgh, PA
38263
John Power
Cardiology · Pittsburgh, PA
32269
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC ST MARGARET144417
Craig Viti
Pulmonary Disease · Pittsburgh, PA
93313
Christopher Tsai
Pulmonary Disease · Pittsburgh, PA
84412
Matthew Synan
Pulmonary Disease · Pittsburgh, PA
82231
Glen Ha
Diagnostic Radiology · Pittsburgh, PA
76326
Mitchell Patti
Pulmonary Disease · Pittsburgh, PA
68282
Patricia Castelli
Diagnostic Radiology · Pittsburgh, PA
65233
RAMESH, MAKUM55187
Edward Ma
Diagnostic Radiology · Pittsburgh, PA
50230
Sidhartha Chaudhry
Diagnostic Radiology · Pittsburgh, PA
48189
Quest Diagnostics Venture Llc
Clinical Laboratory · Pittsburgh, PA
47173
Jeffrey Towers
Diagnostic Radiology · Pittsburgh, PA
43111
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.