PROVIDER PROFILE · NPI 1619134541

Matthew McguinessMD

CardiologyWorcester, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

796

Unique beneficiaries

—

Total services

915

Distinct HCPCS

Medicare payment

$57K

Peer benchmark

Total Medicare services vs. 693 Cardiology providers in MA — below median (cohort median 1,819).

PRESCRIBING · PART D · 2024

Total Rx claims

1,926

Beneficiaries

—

Total drug cost

$273K

Distinct drugs

Brand share

18.5%

Top prescribed drugs

Atorvastatin Calcium328 claims

Metoprolol Succinate204 claims

Apixaban154 claims

Carvedilol154 claims

Lisinopril139 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

83.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Matthew Mcguiness'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). 130 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Massachusetts Llc Clinical Laboratory · Marlborough, MA	241	585
DESAI, CHARU	215	645
Gerard Aurigemma Cardiology · Worcester, MA	167	382
NPI 1104881671	149	489
Eric Schmidlin Diagnostic Radiology · Worcester, MA	91	360
Louis Marone Diagnostic Radiology · Brooklyn, NY	80	167
Brigid Carlson Cardiology · Worcester, MA	77	157
MAKI, DENNIS	72	169
DAIGNAULT, CORY	71	176
Jeffrey Shih Cardiology · Worcester, MA	56	230
Andrew Chen Diagnostic Radiology · Worcester, MA	55	87
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC	53	168

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