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PROVIDER PROFILE · NPI 1568438752

Leroy PachecoMD

PRACTICEALBUQUERQUE CENTER FOR RHEUMATOLOGY PCSee all providers at this practice →
RheumatologyAlbuquerque, NMI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.2
Quality
88.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.81%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
5,548
Beneficiaries
—
Total drug cost
$3.7M
Distinct drugs
60
Brand share
39.1%
Top prescribed drugs
Methotrexate Sodium688 claims
Prednisone653 claims
Hydrocodone/Acetaminophen414 claims
Hydroxychloroquine Sulfate404 claims
Oxycodone Hcl/Acetaminophen270 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,172
Unique beneficiaries
—
Total services
160,884
Distinct HCPCS
25
Medicare payment
$1.6M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 28 Rheumatology providers in NM — top quintile (cohort median 6,695).
REFERRAL NETWORK

Where Leroy Pacheco'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
TRICORE REFERENCE LABORATORIES82333
PRESBYTERIAN HEALTHCARE SERVICES63219
NPI 13967811342472
PRESBYTERIAN HEALTHCARE SERVICES1634
NPI 11544743441421
LOVELACE HEALTH SYSTEM LLC1323
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
49
By payment type
Food and Beverage$1K