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PROVIDER PROFILE · NPI 1447489364

Kenneth EstreraMD

PRACTICEAPEX ORTHOPEDICS PLLCSee all providers at this practice →
Orthopedic SurgeryFrisco, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
82.5
Quality
74.9
Cost
66.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.32%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
944
Beneficiaries
—
Total drug cost
$9K
Distinct drugs
13
Brand share
60.6%
Top prescribed drugs
Hydrocodone/Acetaminophen465 claims
Cefadroxil70 claims
Celecoxib68 claims
Amoxicillin62 claims
Oxycodone Hcl/Acetaminophen57 claims
REFERRAL NETWORK

Where Kenneth Estrera'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). 3 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTRAL DUPAGE HOSPITAL ASSOCIATION3257
Wayne Paprosky
Orthopedic Surgery · Winfield, IL
31104
John Born
Family Practice · Wheaton, IL
1848
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Wayne Paprosky
Orthopedic Surgery · Winfield, IL
2559
Brett Levine
Orthopedic Surgery · Chicago, IL
1944
CENTRAL DUPAGE HOSPITAL ASSOCIATION1736
John Born
Family Practice · Wheaton, IL
1495
Christine Bollier
Nurse Practitioner · Wheaton, IL
1227
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
2,339
Unique beneficiaries
—
Total services
11,297
Distinct HCPCS
16
Medicare payment
$368K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,568 Orthopedic Surgery providers in TX — top quintile (cohort median 1,443).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$125
Payment records
1
By payment type
Food and Beverage$125