PROVIDER PROFILE · NPI 1508919432

Michael PlainseM.D.

CardiologyCarmel, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,816

Unique beneficiaries

—

Total services

8,467

Distinct HCPCS

Medicare payment

$589K

Peer benchmark

Total Medicare services vs. 1,869 Cardiology providers in CA — top quintile (cohort median 2,371).

PRESCRIBING · PART D · 2024

Total Rx claims

3,410

Beneficiaries

—

Total drug cost

$467K

Distinct drugs

Brand share

26.1%

Top prescribed drugs

Rosuvastatin Calcium347 claims

Atorvastatin Calcium298 claims

Metoprolol Succinate290 claims

Apixaban169 claims

Lisinopril158 claims

QUALITY · MIPS · 2024

Final MIPS score

94.5

Quality

100.0

Cost

81.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.82%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$764

Payment records

By payment type

Food and Beverage$764

REFERRAL NETWORK

Where Michael Plainse'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). 84 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Ernst Hansch Diagnostic Radiology · Edina, MN	218	354
American Medical Response West Ambulance Service Provider · Salinas, CA	191	295
Cary Yeh Diagnostic Radiology · Monterey, CA	187	340
Anthony Filly Diagnostic Radiology · Carmel, CA	182	333
Andrew Schmidt Diagnostic Radiology · Monterey, CA	170	299
Robert Gardner Diagnostic Radiology · Monterey, CA	144	259
Joan Frisoli Diagnostic Radiology · Monterey, CA	144	245
Reb Julia Haas Close Emergency Medicine · Monterey, CA	74	135
Roderick Roxas Emergency Medicine · Chicago, IL	68	139
Jose Mendez Hospitalist · Monterey, CA	67	216
Harlan Grogin Clinical Cardiac Electrophysiology · Salinas, CA	63	105
Hoang-Tuan Pham Hospitalist · Monterey, CA	57	244

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history