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PROVIDER PROFILE · NPI 1396804290

Brian HeffelfingerM.D.

PRACTICEFOX VALLEY OPHTHALMOLOGYSee all providers at this practice →
OphthalmologySt. Charles, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
90.2
Quality
97.9
Cost
70.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.64%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,348
Beneficiaries
—
Total drug cost
$188K
Distinct drugs
22
Brand share
23.0%
Top prescribed drugs
Latanoprost950 claims
Timolol Maleate305 claims
Dorzolamide Hcl/Timolol Maleat239 claims
Brimonidine Tartrate195 claims
Dorzolamide Hcl117 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,758
Unique beneficiaries
—
Total services
4,586
Distinct HCPCS
16
Medicare payment
$316K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 667 Ophthalmology providers in IL — top quintile (cohort median 2,192).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$453
Payment records
19
By payment type
Food and Beverage$453
REFERRAL NETWORK

Where Brian Heffelfinger'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). 15 inbound referrers · 33 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTRAL DUPAGE HOSPITAL ASSOCIATION84143
DELNOR COMMUNITY HOSPITAL63112
CENTEGRA CLINICAL LABORATORIES, LLC46179
Amitabh Singh
Diagnostic Radiology · Elgin, IL
1624
Gongyu Yang
Diagnostic Radiology · Elgin, IL
1628
Richard Baley
Internal Medicine · Elgin, IL
1699
Dennis Flynn
Internal Medicine · Elgin, IL
1557
Lucas Wendel
Ophthalmology · St Charles, IL
1434
Elio Vento
Internal Medicine · Elgin, IL
1330
Valley Ambulatory Surgery Center, Lp
Ambulatory Surgical Center · St Charles, IL
1343
Emo Bonaminio
Podiatry · Algonquin, IL
1220
Muhammad Riaz
Interventional Cardiology · Elgin, IL
1137
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ADVOCATE SHERMAN HOSPITAL141441
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK100376
CENTRAL DUPAGE HOSPITAL ASSOCIATION6588
DELNOR COMMUNITY HOSPITAL56100
Lucas Wendel
Ophthalmology · St Charles, IL
3862
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
3658
CENTEGRA CLINICAL LABORATORIES, LLC34113
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
3250
NORTHERN ILLINOIS MEDICAL CENTER2976
Alverno Laboratories, Llc
Clinical Laboratory · Hammond, IN
2545
NPI 18918237871791
Gongyu Yang
Diagnostic Radiology · Elgin, IL
1526
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.