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PROVIDER PROFILE · NPI 1487826244

Matthew SimmonsM.D., PH.D.

UrologyColumbia, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
80.4
Quality
64.9
Cost
72.7
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.23%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
10
By payment type
Education$751
Food and Beverage$616
Top paying entities
Education$751
Food and Beverage$616
PRESCRIBING · PART D · 2024
Total Rx claims
111
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
4
Brand share
38.7%
Top prescribed drugs
Tamsulosin Hcl42 claims
Ciprofloxacin Hcl26 claims
Oxybutynin Chloride22 claims
Sulfamethoxazole/Trimethoprim21 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
354
Unique beneficiaries
—
Total services
416
Distinct HCPCS
8
Medicare payment
$33K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 146 Urology providers in SC — bottom quintile (cohort median 4,499).
REFERRAL NETWORK

Where Matthew 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). 15 inbound referrers · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEDICAL LABORATORY ASSOCIATES3977
CASCADE MEDICAL IMAGING LLC3559
ST. CHARLES HEALTH SYSTEM, INC.2775
Andrew Neeb
Urology · Bend, OR
2556
CASCADE MEDICAL IMAGING LLC2251
TELLER, JOHN1832
Bend Surgery Center Llc
Ambulatory Surgical Center · Bend, OR
1734
Traci Clautice-Engle
Diagnostic Radiology · Bend, OR
1617
Brian Stewart
Pathology · Bend, OR
1562
HOGAN, ROBERT1523
Cloe Shelton
Diagnostic Radiology · Lebanon, NH
1519
Michael Feldman
Nephrology · Bend, OR
1348
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Interpath Laboratory, Inc.
Clinical Laboratory · Pendleton, OR
237841
ST. CHARLES HEALTH SYSTEM, INC.133492
Timothy Krigbaum
Physician Assistant · Redmond, OR
3691
Albert Koch
Cardiology · Hendersonville, TN
2849
Michelle Fitts
Physician Assistant · Bend, OR
2274
MEDICAL LABORATORY ASSOCIATES2124
CASCADE MEDICAL IMAGING LLC1927
ST. CHARLES HEALTH SYSTEM, INC.1975
Karen Lynn
Diagnostic Radiology · Bend, OR
1839
Steven Michel
Diagnostic Radiology · Bend, OR
1735
ST. CHARLES HEALTH SYSTEM, INC.1736
Irene Czyszczon
Pathology · Bend, OR
1695
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.