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PROVIDER PROFILE · NPI 1497709984

Ernest SponzilliM.D.

Physical Medicine and RehabilitationLarkspur, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,119
Unique beneficiaries
—
Total services
3,213
Distinct HCPCS
29
Medicare payment
$223K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 710 Physical Medicine and Rehabilitation providers in CA — above median (cohort median 1,331).
QUALITY · MIPS · 2024
Final MIPS score
81.0
Quality
80.9
Cost
75.9
Improvement activities
40.0
Promoting interop.
76.0
Payment adjustment
0.25%
Subgroup
PRESCRIBING · PART D · 2024
Total Rx claims
937
Beneficiaries
—
Total drug cost
$16K
Distinct drugs
16
Brand share
26.6%
Top prescribed drugs
Gabapentin190 claims
Hydrocodone/Acetaminophen173 claims
Prednisone108 claims
Oxycodone Hcl104 claims
Tramadol Hcl61 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$176
Payment records
2
By payment type
Food and Beverage$176
REFERRAL NETWORK

Where Ernest Sponzilli'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). 41 inbound referrers · 81 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Marin Health Ventures, Llc
Ambulatory Surgical Center · San Rafael, CA
391985
VISTA IMAGING SERVICES, INC387855
MARIN GENERAL HOSPITAL284899
SUTTER BAY HOSPITALS127430
Brian Su
Orthopedic Surgery · Larkspur, CA
121287
Jay Kaiser
Diagnostic Radiology · Greenbrae, CA
61131
MARIN MAGNETIC RESONANCE IMAGING CENTER, LLC4682
Lisa Elvin
Nurse Practitioner · Larkspur, CA
4076
Christian Kim
Ophthalmology · San Rafael, CA
3066
John Shin
Ophthalmology · San Rafael, CA
2975
Michael Oechsel
Orthopedic Surgery · Larkspur, CA
27120
Donna Hoghooghi
Diagnostic Radiology · Greenbrae, CA
2656
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARIN GENERAL HOSPITAL257842
Marin Health Ventures, Llc
Ambulatory Surgical Center · San Rafael, CA
202511
VISTA IMAGING SERVICES, INC189428
BYERS, ROBERT126271
Brian Su
Orthopedic Surgery · Larkspur, CA
120206
SUTTER BAY HOSPITALS102362
Jay Kaiser
Diagnostic Radiology · Greenbrae, CA
4888
Edward Moon
Hand Surgery · Palo Alto, CA
38134
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO34117
Betsy Holland
Diagnostic Radiology · Greenbrae, CA
3475
John Shin
Ophthalmology · San Rafael, CA
3365
Laura Winner
Physical Therapist in Private Practice · Larkspur, CA
3168
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.