PROVIDER PROFILE · NPI 1619922465

Nichole TwedtPA

PRACTICEDES MOINES ORTHOPAEDIC SURGEONS PCSee all providers at this practice →

Physician AssistantWest Des Moines, IAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

584

Unique beneficiaries

—

Total services

2,761

Distinct HCPCS

Medicare payment

$70K

Peer benchmark

Total Medicare services vs. 1,050 Physician Assistant providers in IA — top quintile (cohort median 356).

PRESCRIBING · PART D · 2024

Total Rx claims

1,496

Beneficiaries

—

Total drug cost

$28K

Distinct drugs

Brand share

19.3%

Top prescribed drugs

Tramadol Hcl378 claims

Mupirocin260 claims

Hydrocodone/Acetaminophen224 claims

Amoxicillin162 claims

Oxycodone Hcl112 claims

QUALITY · MIPS · 2024

Final MIPS score

72.3

Quality

80.4

Cost

77.9

Improvement activities

40.0

Promoting interop.

39.0

Payment adjustment

-0.33%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$24

Payment records

By payment type

Food and Beverage$24

REFERRAL NETWORK

Where Nichole Twedt'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1225099344	53	130
SMITH, GREGORY	35	68
Gregory Berry Hospitalist · Des Moines, IA	33	73
Martin Hove Anesthesiology · Des Moines, IA	27	40
Michael O'conner Internal Medicine · Des Moines, IA	25	54
CENTRAL IOWA HOSPITAL CORPORATION	21	29
LUEPKE, MICHAEL	17	50
Craig Stark Cardiology · Des Moines, IA	16	34
JOHNS, DAVID	15	24
CATHOLIC HEALTH INITIATIVES-IOWA CORP	14	25
Clinton Rozycki Anesthesiology · Des Moines, IA	13	20
Tyler Kerr Anesthesiology · Des Moines, IA	12	18

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