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PROVIDER PROFILE · NPI 1598745986

Michael NilesMD

PRACTICELMW HEALTHCARE INC.See all providers at this practice →
Diagnostic RadiologyWesterly, RII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
82.4
Quality
74.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.31%
Individual
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,400
Unique beneficiaries
—
Total services
3,577
Distinct HCPCS
55
Medicare payment
$119K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 129 Diagnostic Radiology providers in RI — below median (cohort median 4,480).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Michael 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). 132 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LMW HEALTHCARE INC.1,5434,256
LAWRENCE AND MEMORIAL HOSPITAL, INC.372819
Westerly Ambulance Corps Inc
Ambulance Service Provider · Westerly, RI
262637
Frederick Jaccarino
Emergency Medicine · Westerly, RI
224447
HILLIKER, KEITH171347
Susan Collemer
Emergency Medicine · Norwich, CT
169347
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND107372
Harold Phillips
Family Practice · Mystic, CT
105366
Stephen Kutz
Cardiology · Westerly, RI
100443
Jon Scheiber
Cardiology · Westerly, RI
92311
TORRES, KEVIN90175
WOOD RIVER HEALTH SERVICES, INC.82135
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.