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PROVIDER PROFILE · NPI 1508875360

Diagnostic Imaging Service Of Idaho

Independent Diagnostic Testing Facility (IDTF)Pocatello, IDO
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Diagnostic Imaging Service Of Idaho'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BLACKFOOT MEDICAL CLINIC, INC144263
BOEHM, DOUGLAS5367
Lorin Bachman
Diagnostic Radiology · Pocatello, ID
3853
Matthew Williamson
Diagnostic Radiology · Pocatello, ID
3237
Gary Soucie
Family Practice · Blackfoot, ID
31109
David Cameron
Diagnostic Radiology · Pocatello, ID
3036
Matthew Fackrell
Family Practice · Blackfoot, ID
2989
John Strobel
Diagnostic Radiology · Idaho Falls, ID
2028
Lance Longmore
Clinical Cardiac Electrophysiology · Pocatello, ID
1922
Jason Lance
Diagnostic Radiology · Ogden, UT
1618
Mark Mansfield
Family Practice · Pocatello, ID
1634
CARDINAL, JEAN1317
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
676
Unique beneficiaries
—
Total services
913
Distinct HCPCS
10
Medicare payment
$49K
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.