PROVIDER PROFILE · NPI 1528334166

Paul Bacalis

PRACTICESUMMIT PATHOLOGYSee all providers at this practice →

Nurse PractitionerFort Collins, COI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

195

Unique beneficiaries

—

Total services

196

Distinct HCPCS

Medicare payment

$15K

Peer benchmark

Total Medicare services vs. 3,071 Nurse Practitioner providers in CO — below median (cohort median 233).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$455

Distinct drugs

Brand share

28.4%

Top prescribed drugs

Cephalexin36 claims

Ondansetron23 claims

Oxycodone Hcl22 claims

QUALITY · MIPS · 2024

Final MIPS score

93.0

Quality

87.3

Cost

88.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.76%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Paul Bacalis'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). 2 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Michael Colip Family Practice · Fort Collins, CO	31	40
ANDERSON, ROBERT	26	31

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