PROVIDER PROFILE · NPI 1558309104

Helen KoenigMD

Internal MedicinePhiladelphia, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

187

Unique beneficiaries

—

Total services

265

Distinct HCPCS

Medicare payment

$22K

Peer benchmark

Total Medicare services vs. 4,434 Internal Medicine providers in PA — below median (cohort median 550).

PRESCRIBING · PART D · 2024

Total Rx claims

762

Beneficiaries

—

Total drug cost

$2.1M

Distinct drugs

Brand share

72.3%

Top prescribed drugs

Bictegrav/Emtricit/Tenofov Ala147 claims

Cabotegravir/Rilpivirine73 claims

Abacavir/Dolutegravir/Lamivudi57 claims

Valacyclovir Hcl48 claims

Elviteg/Cob/Emtri/Tenof Alafen42 claims

QUALITY · MIPS · 2024

Final MIPS score

84.9

Quality

73.6

Cost

76.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.42%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$67

Payment records

By payment type

Food and Beverage$67

REFERRAL NETWORK

Where Helen Koenig'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). 18 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PHILADELPHIA FIGHT	58	148
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	53	228
Susan Roth Diagnostic Radiology · Philadelphia, PA	23	61
Narainder Gupta Diagnostic Radiology · Philadelphia, PA	22	43
Ana Kolansky Diagnostic Radiology · Philadelphia, PA	20	43
Michael Riley Clinical Cardiac Electrophysiology · Philadelphia, PA	20	30
Rosita Shah Diagnostic Radiology · Philadelphia, PA	18	28
Mathew Hutchinson Clinical Cardiac Electrophysiology · Tucson, AZ	16	29
Warren Gefter Diagnostic Radiology · Philadelphia, PA	15	27
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	14	44
Robert Schaller Clinical Cardiac Electrophysiology · Philadelphia, PA	14	46
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS	13	24

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