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PROVIDER PROFILE · NPI 1548257496

Scott HalistaMD

PRACTICERHEUMATOLOGY ASSOCIATES PCSee all providers at this practice →
RheumatologySpringfield, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.9
Quality
65.5
Cost
92.2
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.46%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
6,916
Beneficiaries
—
Total drug cost
$6.1M
Distinct drugs
46
Brand share
31.9%
Top prescribed drugs
Celecoxib1,225 claims
Methotrexate Sodium1,042 claims
Meloxicam533 claims
Prednisone368 claims
Hydroxychloroquine Sulfate330 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$45
Payment records
2
By payment type
Food and Beverage$45
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
7,016
Unique beneficiaries
—
Total services
26,182
Distinct HCPCS
59
Medicare payment
$482K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 204 Rheumatology providers in MA — top quintile (cohort median 564).
REFERRAL NETWORK

Where Scott Halista'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). 15 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BAYSTATE MEDICAL CENTER INC195640
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
94239
THE MERCY HOSPITAL INC81210
COOLEY DICKINSON HOSPITAL INC2164
Philip Moraitis
Ophthalmology · Springfield, MA
1750
Steven Berger
Ophthalmology · Springfield, MA
1636
Rashmi Balasubramanya
Diagnostic Radiology · Aldan, PA
1629
BRODER, MARTIN1527
Rhett Krause
Diagnostic Radiology · Springfield, MA
1427
Andrew Jusko
Ophthalmology · Springfield, MA
1332
Tammie Black
Podiatry · South Hadley, MA
1330
David Mernoff
Diagnostic Radiology · Springfield, MA
1332
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.