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PROVIDER PROFILE · NPI 1629163613

Michael FallonMD

GastroenterologyHouston, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
119
Beneficiaries
—
Total drug cost
$74K
Distinct drugs
7
Brand share
28.6%
Top prescribed drugs
Spironolactone21 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl19 claims
Carvedilol19 claims
Ursodiol18 claims
Rifaximin15 claims
REFERRAL NETWORK

Where Michael Fallon'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Shaheryar Siddiqui
Gastroenterology · Sugar Land, TX
20168
Mamoun Younes
Pathology · Washington, DC
1435
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
14109
Kevin Dasher
Gastroenterology · San Antonio, TX
1481
Eduardo Matta
Diagnostic Radiology · Houston, TX
1231
OLDHAM, SANDRA1137
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
57
Unique beneficiaries
—
Total services
64
Distinct HCPCS
3
Medicare payment
$4K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,103 Gastroenterology providers in TX — bottom quintile (cohort median 699).