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PROVIDER PROFILE · NPI 1407829229

Edward Heres

Pain ManagementPittsburgh, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Edward Heres'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). 45 inbound referrers · 44 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UPMC PASSAVANT2521,521
Tammy Flemming
Nurse Practitioner · Temple, TX
63252
Raucheline Akindele
Diagnostic Radiology · Pittsburgh, PA
41169
Ubaid Akhtar
Diagnostic Radiology · Pittsburgh, PA
38112
Ghassan Bejjani
Neurosurgery · Warrendale, PA
28304
Lance Williams
Diagnostic Radiology · Lubbock, TX
2683
Balasubramanya Rangaswamy
Diagnostic Radiology · Cleveland, OH
2593
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
2483
David Sarknas
Emergency Medicine · Pittsburgh, PA
1967
Santosh Pandit
Cardiology · Pittsburgh, PA
1978
UPMC PASSAVANT1840
Sivasubramaniam Kedarnath
Cardiology · Franklin, PA
1768
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC PRESBYTERIAN SHADYSIDE3161,670
UPMC PASSAVANT129569
Quest Diagnostics Venture Llc
Clinical Laboratory · Pittsburgh, PA
100309
Tammy Flemming
Nurse Practitioner · Temple, TX
61288
UPMC HOME HEALTHCARE OF WESTERN PA4076
UPMC MAGEE-WOMENS HOSPITAL3799
Edward Solomon
Diagnostic Radiology · Pittsburgh, PA
3582
Cheryl Bernstein
Anesthesiology · Pittsburgh, PA
33183
BERNSTEIN, MARC3282
Raucheline Akindele
Diagnostic Radiology · Pittsburgh, PA
2788
UPMC MERCY2662
CORE NETWORK, LLC2577
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
653
Unique beneficiaries
—
Total services
805
Distinct HCPCS
9
Medicare payment
$51K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 115 Pain Management providers in PA — below median (cohort median 1,330).
PRESCRIBING · PART D · 2024
Total Rx claims
1,795
Beneficiaries
—
Total drug cost
$21K
Distinct drugs
17
Brand share
0.7%
Top prescribed drugs
Gabapentin1,122 claims
Celecoxib150 claims
Meloxicam105 claims
Duloxetine Hcl69 claims
Cyclobenzaprine Hcl64 claims
QUALITY · MIPS · 2024
Final MIPS score
80.9
Quality
61.9
Cost
74.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.25%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$590
Payment records
11
By payment type
Food and Beverage$590