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PROVIDER PROFILE · NPI 1588616981

William FalcoM.D.

Emergency MedicineMilwaukee, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
458
Unique beneficiaries
—
Total services
483
Distinct HCPCS
4
Medicare payment
$55K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 945 Emergency Medicine providers in WI — top quintile (cohort median 298).
PRESCRIBING · PART D · 2024
Total Rx claims
215
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
9
Brand share
45.6%
Top prescribed drugs
Hydrocodone/Acetaminophen39 claims
Prednisone36 claims
Ondansetron33 claims
Cefdinir31 claims
Cephalexin20 claims
QUALITY · MIPS · 2024
Final MIPS score
84.7
Quality
73.2
Cost
82.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.41%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$15
Payment records
1
By payment type
Food and Beverage$15
REFERRAL NETWORK

Where William Falco'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). 26 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FROEDTERT SOUTH, INC.4871,507
City Of Kenosha
Ambulance Service Provider · Kenosha, WI
112256
Andrew Harron
Diagnostic Radiology · Milwaukee, WI
74125
Kevin Gelshenen
Diagnostic Radiology · Whitewater, WI
71110
James Tomic
Diagnostic Radiology · Minocqua, WI
65106
Ramanuja Manda
Internal Medicine · Kenosha, WI
58123
Ljh Ambulance, Inc
Ambulance Service Provider · Kenosha, WI
48140
Kevin Fullin
Cardiology · Kenosha, WI
42115
John Martini
Family Practice · Pleasant Prairie, WI
2439
PARATECH AMBULANCE SERVICE, INC.2352
AURORA HEALTH CARE SOUTHERN LAKES, INC.2156
Paul Cimoch
Internal Medicine · Fort Pierce, FL
2039
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.