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PROVIDER PROFILE · NPI 1598872160

John MichaelMD

OphthalmologyCrystal Lake, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
587
Beneficiaries
—
Total drug cost
$45K
Distinct drugs
16
Brand share
21.1%
Top prescribed drugs
Prednisolone Acetate142 claims
Bromfenac Sodium74 claims
Brimonidine Tartrate67 claims
Latanoprost47 claims
Atropine Sulfate38 claims
QUALITY · MIPS · 2024
Final MIPS score
99.4
Quality
97.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.03%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$17
Payment records
1
By payment type
Education$17
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
5,856
Unique beneficiaries
—
Total services
58,675
Distinct HCPCS
23
Medicare payment
$2.3M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 667 Ophthalmology providers in IL — top quintile (cohort median 2,192).
REFERRAL NETWORK

Where John Michael'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). 20 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ENDEAVOR HEALTH CLINICAL OPERATIONS73325
CENTEGRA CLINICAL LABORATORIES, LLC64334
ADVOCATE HEALTH AND HOSPITALS CORPORATION61248
Rumya Rao
Ophthalmology · Niles, IL
38127
CENTRAL DUPAGE HOSPITAL ASSOCIATION2565
ADVOCATE CONDELL MEDICAL CENTER2594
ALEXIAN BROTHERS MEDICAL CENTER2271
Michael Strassman
Pathology · Janesville, WI
1859
MERCY HEALTH SYSTEM CORPORATION1849
Charles Brikha
Internal Medicine · Niles, IL
1875
Steven Reinglass
Ophthalmology · Gurnee, IL
1764
ADVOCATE HEALTH AND HOSPITALS CORPORATION1648
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.