PROVIDER PROFILE · NPI 1619923711

Daniel SpilmanMD

PRACTICEBARKER SEFTEL SPILMAN GEN PTRSSee all providers at this practice →

OtolaryngologySanta Cruz, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,855

Unique beneficiaries

—

Total services

10,382

Distinct HCPCS

Medicare payment

$256K

Peer benchmark

Total Medicare services vs. 875 Otolaryngology providers in CA — top quintile (cohort median 923).

PRESCRIBING · PART D · 2024

Total Rx claims

459

Beneficiaries

—

Total drug cost

$17K

Distinct drugs

Brand share

6.3%

Top prescribed drugs

Azelastine Hcl120 claims

Fluticasone Propionate108 claims

Omeprazole39 claims

Prednisone32 claims

Montelukast Sodium30 claims

QUALITY · MIPS · 2024

Final MIPS score

91.0

Quality

80.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.67%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Daniel Spilman'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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
DIGNITY HEALTH	66	185
Jon Keller Pathology · Palo Alto, CA	42	178
SCHMETZ, MARK	20	57
Aaron Morse Sleep Medicine · Santa Cruz, CA	20	112
Roy Martinez Diagnostic Radiology · Santa Cruz, CA	20	53
Jennifer Lin Diagnostic Radiology · Santa Cruz, CA	18	33
Evan Sirc Nuclear Medicine · Santa Cruz, CA	18	42
NPI 1336188416	17	62
Julia Chan Pathology · Los Gatos, CA	14	28
Francisco Ravago Internal Medicine · Freedom, CA	13	26
SEFTEL, MARC	12	36
Annette Rasi Diagnostic Radiology · Salinas, CA	12	30

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