What is Monica Firme's specialty?

Monica Firme (NPI 1396957395) is a Medicare-billing provider whose primary specialty is Certified Registered Nurse Anesthetist (CRNA) in Storm Lake, IA.

Where does Monica Firme practice?

Monica Firme practices in Storm Lake, IA, based on the location reported in the CMS Medicare provider datasets for NPI 1396957395.

How much does Medicare pay Monica Firme?

Monica Firme (NPI 1396957395) received approximately $21K in total Medicare Part B payments, serving 132 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1396957395

Monica FirmeCRNA

PRACTICETROY D IVEY DO PLCSee all providers at this practice →

Certified Registered Nurse Anesthetist (CRNA)Storm Lake, IAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$4K

Peer benchmark

Total Medicare services vs. 386 Certified Registered Nurse Anesthetist (CRNA) providers in IA — above median (cohort median 127).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Monica Firme'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 · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
BUENA VISTA REGIONAL MEDICAL CENTER	95	212
FRANZE, INGRID	36	48
BARBER, PAUL	31	93
Sanford Clinic Clinical Laboratory · Sioux Falls, SD	30	60
CRIPPIN, DAVID	20	89

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
BUENA VISTA REGIONAL MEDICAL CENTER	41	82
Jason Dierking General Surgery · Storm Lake, IA	30	93
Joshua Hamann Orthopedic Surgery · Columbia, MO	22	77
BARBER, PAUL	18	43
CRIPPIN, DAVID	14	46
Stephen Fox Ophthalmology · Spencer, IA	14	37

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events