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PROVIDER PROFILE · NPI 1538104617

Heena PatelFNP

PRACTICEUNIVERSITY HEALTH SYSTEM INCSee all providers at this practice →
Nurse PractitionerKnoxville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
96.5
Quality
86.2
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.90%
APM Entity
REFERRAL NETWORK

Where Heena Patel'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
PhysicianPatientsVisits
CLOUD, MARK29100
METRO KNOXVILLE HMA LLC1945
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.
PRESCRIBING · PART D · 2024
Total Rx claims
144
Beneficiaries
—
Total drug cost
$840
Distinct drugs
6
Brand share
0.0%
Top prescribed drugs
Pantoprazole Sodium42 claims
Promethazine Hcl28 claims
Mirtazapine27 claims
Famotidine20 claims
Dicyclomine Hcl14 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
139
Unique beneficiaries
—
Total services
190
Distinct HCPCS
3
Medicare payment
$13K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 7,486 Nurse Practitioner providers in TN — below median (cohort median 320).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$952
Payment records
18
By payment type
Food and Beverage$597
Travel and Lodging$355
Top paying entities
Food and Beverage$597
Travel and Lodging$355