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PROVIDER PROFILE · NPI 1477558435

Thomas SpillaneMD

Medical OncologySan Luis Obispo, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Thomas Spillane'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). 22 inbound referrers · 43 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Pacific Point Laboratories, Inc.
Clinical Laboratory · San Luis Obispo, CA
2854,507
Timothy Auran
Diagnostic Radiology · San Diego, CA
41294
WIELER, LISA36165
TWIN CITIES COMMUNITY HOSPITAL, INC.33544
Erik Olson
Diagnostic Radiology · Templeton, CA
3197
WININGHAM, DONNA2490
CORBETT, HARRY2365
Jaywant Parmar
Diagnostic Radiology · Santa Barbar, CA
21123
Arthur Duberg
Diagnostic Radiology · Templeton, CA
2028
LONGO, JAMES19214
PATHOLOGY, INC.18121
Neogenomics Laboratories Inc
Clinical Laboratory · Aliso Viejo, CA
1868
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Pacific Point Laboratories, Inc.
Clinical Laboratory · San Luis Obispo, CA
1983,293
DIGNITY HEALTH1718,751
DIGNITY COMMUNITY CARE1591,383
SIERRA VISTA HOSPITAL, INC.64374
Kenneth Krone
Diagnostic Radiology · Avila Beach, CA
46219
Fred Vernacchia
Diagnostic Radiology · San Luis Obispo, CA
41207
Stephen Holtzman
Diagnostic Radiology · Templeton, CA
37204
David Tuttle
Diagnostic Radiology · Santa Brabara, CA
36167
Timothy Auran
Diagnostic Radiology · San Diego, CA
34148
Erik Olson
Diagnostic Radiology · Templeton, CA
34131
TWIN CITIES COMMUNITY HOSPITAL, INC.29446
Templeton Imaging, Inc.
Independent Diagnostic Testing Facility (IDTF) · Templeton, CA
28151
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
1,596
Unique beneficiaries
—
Total services
3,615
Distinct HCPCS
9
Medicare payment
$355K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 268 Medical Oncology providers in CA — above median (cohort median 1,130).
PRESCRIBING · PART D · 2024
Total Rx claims
636
Beneficiaries
—
Total drug cost
$498K
Distinct drugs
21
Brand share
13.1%
Top prescribed drugs
Letrozole142 claims
Tamoxifen Citrate62 claims
Acyclovir51 claims
Prednisone44 claims
Gabapentin32 claims
QUALITY · MIPS · 2024
Final MIPS score
99.6
Quality
86.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.04%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$8K
Payment records
287
By payment type
Food and Beverage$6K
Consulting Fee$2K
Education$20