PROVIDER PROFILE · NPI 1609855485

Karolyn SenicaMD

PRACTICEPATRICK BUTLER MD SCSee all providers at this practice →

Orthopedic SurgerySpringfield, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,531

Unique beneficiaries

—

Total services

11,701

Distinct HCPCS

Medicare payment

$208K

Peer benchmark

Total Medicare services vs. 749 Orthopedic Surgery providers in IL — top quintile (cohort median 1,820).

PRESCRIBING · PART D · 2024

Total Rx claims

623

Beneficiaries

—

Total drug cost

$4K

Distinct drugs

Brand share

5.5%

Top prescribed drugs

Meloxicam276 claims

Tramadol Hcl130 claims

Celecoxib55 claims

Hydrocodone/Acetaminophen34 claims

Cyclobenzaprine Hcl30 claims

QUALITY · MIPS · 2024

Final MIPS score

63.6

Quality

57.1

Cost

78.3

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-1.37%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$35

Payment records

By payment type

Food and Beverage$35

REFERRAL NETWORK

Where Karolyn Senica'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

Physician	Patients	Visits
MEMORIAL MEDICAL CENTER	214	676
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION	122	507
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	91	220
Springfield Clinic, Llp Clinical Laboratory · Springfield, IL	77	190
John Watson Physical Medicine and Rehabilitation · Springfield, IL	34	72
Joseph Baima Diagnostic Radiology · Springfield, IL	32	48
MAGRE, GEORGE	27	51
Lucy Ann Christopherson Diagnostic Radiology · Belleville, IL	23	34
Adam Taves Diagnostic Radiology · St. Charles, MO	21	55
Marisa Blitstein Diagnostic Radiology · Springfield, IL	18	25
Aaron Settler Diagnostic Radiology · Springfield, IL	15	16
Nasaraiah Nallamothu Cardiology · Peoria, IL	15	59

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