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PROVIDER PROFILE · NPI 1497715056

John OpilkaD.O.

PRACTICEMID-ILLINOIS MEDICAL CARE ASSOCIATES, LLCSee all providers at this practice →
Family PracticeAltamont, ILI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
14,313
Beneficiaries
—
Total drug cost
$754K
Distinct drugs
176
Brand share
19.4%
Top prescribed drugs
Furosemide608 claims
Atorvastatin Calcium572 claims
Levothyroxine Sodium539 claims
Potassium Chloride528 claims
Apixaban483 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,649
Unique beneficiaries
—
Total services
3,375
Distinct HCPCS
28
Medicare payment
$265K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,221 Family Practice providers in IL — top quintile (cohort median 556).
QUALITY · MIPS · 2024
Final MIPS score
89.0
Quality
69.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.59%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$136
Payment records
2
By payment type
Food and Beverage$136
REFERRAL NETWORK

Where John Opilka'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). 59 inbound referrers · 122 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD5214,039
Omer Aker
Diagnostic Radiology · Springfield, IL
206890
NPI 1386604940150737
Erin Swingler
Nurse Practitioner · Altamont, IL
110421
Arvind Patel
Diagnostic Radiology · Grand Rapids, MI
87366
LUTHERAN CARE CENTER771,101
Pernankel Nayak
Urology · Effingham, IL
64433
John Kay
Ophthalmology · Effingham, IL
62160
Amir Cheema
Cardiology · Champaign, IL
60330
Thomas Heischmidt
Internal Medicine · Effingham, IL
58400
Dean Collette
Diagnostic Radiology · Springfield, IL
57268
Richard Levey
Diagnostic Radiology · Oroville, CA
56229
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC8888,622
SARAH BUSH LINCOLN HEALTH CENTER7706,442
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD4673,202
Kimberley Burgess
Nurse Practitioner · Altamont, IL
3261,668
Heather Forys
Nurse Practitioner · Altamont, IL
262875
Omer Aker
Diagnostic Radiology · Springfield, IL
184712
Joshua Garrett
Diagnostic Radiology · Mattoon, IL
129390
NPI 1386604940111447
Aziz Ahmed
Diagnostic Radiology · Mattoon, IL
110328
William Manzo
Diagnostic Radiology · Des Moines, IA
101339
Matthew Jones
Diagnostic Radiology · Mattoon, IL
81188
LUTHERAN CARE CENTER781,548
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.