PROVIDER PROFILE · NPI 1598714040

Richard NilesMD

PRACTICETEXAS HEALTH PHYSICIANS GROUPSee all providers at this practice →

Emergency MedicineDallas, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

565

Unique beneficiaries

—

Total services

1,275

Distinct HCPCS

Medicare payment

$99K

Peer benchmark

Total Medicare services vs. 3,447 Emergency Medicine providers in TX — top quintile (cohort median 308).

PRESCRIBING · PART D · 2024

Total Rx claims

9,543

Beneficiaries

—

Total drug cost

$566K

Distinct drugs

152

Brand share

22.8%

Top prescribed drugs

Atorvastatin Calcium413 claims

Gabapentin345 claims

Potassium Chloride341 claims

Memantine Hcl318 claims

Apixaban302 claims

QUALITY · MIPS · 2024

Final MIPS score

84.9

Quality

34.5

Cost

85.3

Improvement activities

40.0

Promoting interop.

96.0

Payment adjustment

0.42%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Richard Niles'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). 39 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
STONE, MARY	156	1,305
TEXAS HEALTH HUGULEY, INC.	102	236
Keegan Miller Emergency Medicine · Knoxville, TN	62	292
METROSTAT DIAGNOSTIC SERVICES INC	57	223
Jon Mccreary Podiatry · Fort Worth, TX	56	164
Careflite Ambulance Service Provider · Grand Prairie, TX	55	151
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH	50	253
James Yaquinto Diagnostic Radiology · Fort Worth, TX	43	208
Richard Robinson Family Practice · Ft Worth, TX	36	157
MURNANE, THOMAS	35	102
Stuart Aronson Diagnostic Radiology · Fort Worth, TX	32	141
MILLER, RUDOLPH	32	178

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