PROVIDER PROFILE · NPI 1528221504

Roberto PabalateMD

Family PracticeForsyth, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,157

Unique beneficiaries

—

Total services

1,642

Distinct HCPCS

Medicare payment

$95K

Peer benchmark

Total Medicare services vs. 3,221 Family Practice providers in IL — top quintile (cohort median 556).

PRESCRIBING · PART D · 2024

Total Rx claims

10,985

Beneficiaries

—

Total drug cost

$1.8M

Distinct drugs

140

Brand share

21.8%

Top prescribed drugs

Atorvastatin Calcium641 claims

Levothyroxine Sodium570 claims

Amlodipine Besylate407 claims

Lisinopril358 claims

Metoprolol Succinate266 claims

QUALITY · MIPS · 2024

Final MIPS score

73.9

Quality

63.9

Cost

77.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-0.13%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Roberto Pabalate'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). 38 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Jeffrey Boorstein Diagnostic Radiology · Decatur, IL	142	561
Adam Zorn Diagnostic Radiology · Milwaukee, WI	81	320
John Waters Interventional Cardiology · Kearney, NE	80	345
James Brumit Diagnostic Radiology · Knoxville, TN	78	323
DECATUR AMBULANCE SERVICE, INC.	68	308
Tansel Turgut Interventional Cardiology · Michigan City, IN	58	189
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER	44	166
Sudhakar Konda Family Practice · Leander, TX	43	279
William Franklin Internal Medicine · Decatur, IL	37	239
Madhu Jyothinagaram Cardiology · Fort Wayne, IN	32	120
SYMPHONY MCKINLEY LLC	32	209
Nadal Aker Cardiology · Decatur, IL	30	235

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