PROVIDER PROFILE · NPI 1659385581

Frederick PfalzgrafM.D.

RheumatologyHerrin, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

109

Unique beneficiaries

—

Total services

207

Distinct HCPCS

Medicare payment

$9K

Peer benchmark

Total Medicare services vs. 205 Rheumatology providers in IL — bottom quintile (cohort median 2,209).

PRESCRIBING · PART D · 2024

Total Rx claims

3,248

Beneficiaries

—

Total drug cost

$6.6M

Distinct drugs

Brand share

34.9%

Top prescribed drugs

Methotrexate Sodium631 claims

Prednisone582 claims

Hydroxychloroquine Sulfate408 claims

Leflunomide225 claims

Duloxetine Hcl150 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Education$153

Top paying entities

Food and Beverage$2K

Education$153

REFERRAL NETWORK

Where Frederick Pfalzgraf'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). 13 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOUTHERN ILLINOIS HOSPITAL SERVICES	52	119
SOUTHERN ILLINOIS HOSPITAL SERVICES	43	240
Justin Hodge Diagnostic Radiology · Cape Girardeau, MO	27	43
Michael Thomas Diagnostic Radiology · Cape Girardeau, MO	27	47
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP	21	46
MARION HOSPITAL CORPORATION	19	44
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP	17	61
Frederick Harris Diagnostic Radiology · Cape Girardeau, MO	17	25
Shanaree Muzinich Diagnostic Radiology · Cape Girardeau, MO	16	28
Suhail Istanbouly Internal Medicine · Herrin, IL	13	41
Raed Al-Dallow Interventional Cardiology · Carbondale, IL	12	19
Cesar Coello Cardiology · Carbondale, IL	12	23

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