PROVIDER PROFILE · NPI 1659344430

Karl HeilmanMD

CardiologyRapid City, SDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,853

Unique beneficiaries

—

Total services

4,925

Distinct HCPCS

Medicare payment

$146K

Peer benchmark

Total Medicare services vs. 29 Cardiology providers in SD — top quintile (cohort median 3,005).

PRESCRIBING · PART D · 2024

Total Rx claims

3,500

Beneficiaries

—

Total drug cost

$819K

Distinct drugs

Brand share

22.3%

Top prescribed drugs

Metoprolol Succinate628 claims

Warfarin Sodium252 claims

Atorvastatin Calcium222 claims

Losartan Potassium217 claims

Apixaban152 claims

QUALITY · MIPS · 2024

Final MIPS score

93.8

Quality

80.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.79%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Travel and Lodging$2K

Food and Beverage$329

REFERRAL NETWORK

Where Karl Heilman'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). 93 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.	698	2,478
FROST, TIMOTHY	141	344
DURST, ROBERT	125	251
William Zavitz Diagnostic Radiology · Rapid City, SD	124	278
Charles Voigt Diagnostic Radiology · Rapid City, SD	111	234
NPI 1215994967	98	188
Thomas Habbe Diagnostic Radiology · Rapid City, SD	88	188
Amad Zineldine Cardiology · Prescott Valley, AZ	72	187
MONUMENT HEALTH NETWORK, INC.	70	185
Joseph Tuma Interventional Cardiology · Rapid City, SD	65	191
James Walder Internal Medicine · Rapid City, SD	57	155
Pushpa Poudel Hospitalist · Gainesville, FL	50	145

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