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PROVIDER PROFILE · NPI 1548222516

Seth WheelerMD

PRACTICEBLUE LAKES GASTROENTEROLOGY PLLCSee all providers at this practice →
GastroenterologyTwin Falls, IDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
578
Unique beneficiaries
—
Total services
599
Distinct HCPCS
13
Medicare payment
$58K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 55 Gastroenterology providers in ID — below median (cohort median 743).
PRESCRIBING · PART D · 2024
Total Rx claims
413
Beneficiaries
—
Total drug cost
$147K
Distinct drugs
11
Brand share
38.5%
Top prescribed drugs
Omeprazole137 claims
Pantoprazole Sodium55 claims
Budesonide44 claims
Carvedilol29 claims
Lipase/Protease/Amylase27 claims
QUALITY · MIPS · 2024
Final MIPS score
86.0
Quality
91.8
Cost
61.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.47%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Seth Wheeler'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). 44 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Heather Kohring
Nurse Practitioner · Twin Falls, ID
62271
GRAY, JOHN61143
BENNETT-MUNRO, JANE55117
Joshua Hall
Diagnostic Radiology · Twin Falls, ID
50135
Cameron Evans
Diagnostic Radiology · Kelso, WA
48139
Daniel Alder
Diagnostic Radiology · Twin Falls, ID
46104
Michael Dixon
Diagnostic Radiology · Eden Prairie, MN
42115
Magic Valley Paramedics L L C
Ambulance Service Provider · Twin Falls, ID
42108
Julie Akins
Nurse Practitioner · Twin Falls, ID
36168
THOMAS, EVAN3060
Timothy Enders
Hospitalist · Twin Falls, ID
2791
KEMP, DAVID2468
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.