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PROVIDER PROFILE · NPI 1447221379

Thomas SpenceMD

Pulmonary DiseaseSaint Louis, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
2,739
Beneficiaries
—
Total drug cost
$1.1M
Distinct drugs
30
Brand share
66.0%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter638 claims
Albuterol Sulfate412 claims
Montelukast Sodium373 claims
Umeclidinium Brm/Vilanterol Tr142 claims
Fluticasone/Vilanterol142 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
813
Unique beneficiaries
—
Total services
982
Distinct HCPCS
12
Medicare payment
$57K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 230 Pulmonary Disease providers in MO — above median (cohort median 922).
QUALITY · MIPS · 2024
Final MIPS score
79.2
Quality
72.1
Cost
74.1
Improvement activities
20.0
Promoting interop.
100.0
Payment adjustment
0.18%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
113
By payment type
Food and Beverage$2K
REFERRAL NETWORK

Where Thomas Spence'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). 75 inbound referrers · 143 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MISSOURI BAPTIST MEDICAL CENTER4301,424
NPI 1407879562165448
Jamie Colonnello
Diagnostic Radiology · Fort Collins, CO
139346
WASHINGTON COUNTY MEMORIAL HOSPITAL129495
Christopher Thornton
Diagnostic Radiology · Saint Louis, MO
107266
NIEMEYER, JOHN101232
WASHINGTON COUNTY MEMORIAL HOSPITAL92262
MOSHER, AMY79190
HAMILL, GEOFFREY66119
Ricardo Rao
Vascular Surgery · Saint Louis, MO
4689
BJC HOME CARE SERVICES3963
Nitin Anand
Critical Care (Intensivists) · Saint Louis, MO
38100
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MISSOURI BAPTIST MEDICAL CENTER3751,478
Douglas Curry
Diagnostic Radiology · Saint Louis, MO
149373
NPI 1407879562131340
ENGELS, JOHN120282
Jamie Colonnello
Diagnostic Radiology · Fort Collins, CO
113254
Floyd Scales
Interventional Radiology · Saint Louis, MO
108278
SOLOMON, STEVEN104262
Christopher Thornton
Diagnostic Radiology · Saint Louis, MO
95224
NIEMEYER, JOHN89191
Linda Proctor
Diagnostic Radiology · Saint Louis, MO
87167
WASHINGTON COUNTY MEMORIAL HOSPITAL85265
Anthony Shen
Internal Medicine · Saint Louis, MO
77205
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.