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PROVIDER PROFILE · NPI 1508806100

Heather McguireMD

NephrologyTwin Falls, IDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
537
Unique beneficiaries
—
Total services
1,046
Distinct HCPCS
9
Medicare payment
$120K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 26 Nephrology providers in ID — above median (cohort median 1,013).
PRESCRIBING · PART D · 2024
Total Rx claims
594
Beneficiaries
—
Total drug cost
$15K
Distinct drugs
22
Brand share
6.4%
Top prescribed drugs
Amlodipine Besylate58 claims
Calcitriol57 claims
Lisinopril54 claims
Potassium Chloride45 claims
Losartan Potassium43 claims
QUALITY · MIPS · 2024
Final MIPS score
85.1
Quality
77.1
Cost
73.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.42%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Heather Mcguire'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). 60 inbound referrers · 122 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BILLINGS CLINIC5154,972
Kendrick Trostel
Nephrology · Billings, MT
1771,054
BILLINGS CLINIC DIALYSIS LLC1181,196
DIALYSIS CLINIC INC86323
SCL HEALTH MONTANA76267
PINKERTON, BRUCE63163
Michael Ganz
Nephrology · Billings, MT
58256
George Knight
Diagnostic Radiology · Billings, MT
49111
Juwono Sutedjo
Internal Medicine · Stanford, CA
49116
Ronny Jiji
Cardiology · Las Vegas, NV
47163
Zachary Bland
Diagnostic Radiology · Billings, MT
47171
Roger Ng
Cardiology · Tacoma, WA
46129
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BILLINGS CLINIC4073,402
Kendrick Trostel
Nephrology · Billings, MT
184831
BILLINGS CLINIC DIALYSIS LLC102628
Jeffry Lindenbaum
Diagnostic Radiology · Billings, MT
100235
DIALYSIS CLINIC INC99327
Lynette Melchert
Nurse Practitioner · Billings, MT
80273
Michael Ganz
Nephrology · Billings, MT
69302
Scott Sample
Interventional Cardiology · New Bern, NC
69160
Dean Bruschwein
Diagnostic Radiology · Billings, MT
68146
Jeffrey Smith
Pathology · Billings, MT
66230
PINKERTON, BRUCE66149
DARBY, RONALD65156
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.