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PROVIDER PROFILE · NPI 1639120967

Theresa DurbinPA-C

Physician AssistantSpringfield, 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
811
Unique beneficiaries
—
Total services
1,134
Distinct HCPCS
8
Medicare payment
$57K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,282 Physician Assistant providers in IL — top quintile (cohort median 232).
QUALITY · MIPS · 2024
Final MIPS score
88.8
Quality
75.7
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.58%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
737
Beneficiaries
—
Total drug cost
$59K
Distinct drugs
19
Brand share
21.3%
Top prescribed drugs
Potassium Chloride96 claims
Furosemide82 claims
Losartan Potassium78 claims
Hydralazine Hcl62 claims
Lisinopril58 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$307
Payment records
15
By payment type
Food and Beverage$307
REFERRAL NETWORK

Where Theresa Durbin'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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HILLSBORO AREA HOSPITAL, INC.173471
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
140410
MULCH, BARBARA73192
SPRINGFIELD CLINIC LLP2660
MEMORIAL MEDICAL CENTER2458
PETERSON, JOHN2026
Robert Trask
Cardiology · Springfield, IL
1227
Stephanie Swope
Diagnostic Radiology · Springfield, IL
1222
Richard Schock
Family Practice · Peoria, IL
1123
ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F1122
MAGRE, GEORGE1117
HILLSBORO REHABILITATION AND HEALTH CARE CENTER, LLC1114
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.