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PROVIDER PROFILE · NPI 1629203708

Michael LawlerMD

PRACTICEJUSTIN SETTLE, D.M.D., P.C.See all providers at this practice →
Internal MedicineMarion, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
452
Unique beneficiaries
—
Total services
2,580
Distinct HCPCS
7
Medicare payment
$155K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,790 Internal Medicine providers in IL — top quintile (cohort median 760).
REFERRAL NETWORK

Where Michael Lawler'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). 22 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MARION HOSPITAL CORPORATION133933
Randy Balmforth
Diagnostic Radiology · Garden City, MI
62251
SOUTHERN ILLINOIS HOSPITAL SERVICES60254
Justin Hodge
Diagnostic Radiology · Cape Girardeau, MO
39142
Michael Thomas
Diagnostic Radiology · Cape Girardeau, MO
35142
Frederick Harris
Diagnostic Radiology · Cape Girardeau, MO
3193
Shanaree Muzinich
Diagnostic Radiology · Cape Girardeau, MO
2748
Raja Maddipoti
Cardiology · Naples, FL
26135
Cesar Coello
Cardiology · Carbondale, IL
21131
Elizabeth Lawler
Endocrinology · Marion, IL
2160
Peyman Soltani
Interventional Cardiology · Bellingham, WA
19207
Raed Al-Dallow
Interventional Cardiology · Carbondale, IL
1974
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.
PRESCRIBING · PART D · 2024
Total Rx claims
7,029
Beneficiaries
—
Total drug cost
$460K
Distinct drugs
117
Brand share
19.8%
Top prescribed drugs
Atorvastatin Calcium290 claims
Hydrocodone/Acetaminophen261 claims
Rosuvastatin Calcium230 claims
Levothyroxine Sodium217 claims
Amlodipine Besylate217 claims
QUALITY · MIPS · 2024
Final MIPS score
83.2
Quality
85.5
Cost
80.0
Improvement activities
40.0
Promoting interop.
74.0
Payment adjustment
0.34%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.