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PROVIDER PROFILE · NPI 1437393485

Rachel SimmonsM.D.

PRACTICEYOUNG DENTISTRY FOR CHILDREN, LLCSee all providers at this practice →
DermatologyLouisville, COI
CROSS-REFERENCE

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REFERRAL NETWORK

Where Rachel Simmons'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 · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Shawn Allen
Micrographic Dermatologic Surgery · Boulder, CO
3250
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
3140
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY1433
Mark Hickey
Sleep Medicine · Louisville, CO
1122
NPI 13967811341133
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BOULDER COMMUNITY HEALTH91196
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
89133
Shawn Allen
Micrographic Dermatologic Surgery · Boulder, CO
75125
Cohen Dermatopathology, P.C.
Clinical Laboratory · Needham, MA
2730
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY1735
Laboratory Corporation Of America
Clinical Laboratory · Englewood, CO
1528
William Blanchet
Internal Medicine · Boulder, CO
1455
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
2,022
Unique beneficiaries
—
Total services
4,270
Distinct HCPCS
16
Medicare payment
$144K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 249 Dermatology providers in CO — above median (cohort median 2,781).
PRESCRIBING · PART D · 2024
Total Rx claims
430
Beneficiaries
—
Total drug cost
$138K
Distinct drugs
15
Brand share
13.0%
Top prescribed drugs
Triamcinolone Acetonide114 claims
Clobetasol Propionate38 claims
Ketoconazole35 claims
Doxycycline Hyclate28 claims
Fluconazole28 claims
QUALITY · MIPS · 2024
Final MIPS score
98.3
Quality
0.0
Cost
75.6
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.98%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$240
Payment records
9
By payment type
Food and Beverage$240