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PROVIDER PROFILE · NPI 1679519557

Herbert VillafloresMD

Physical Medicine and RehabilitationSaint Louis, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
170
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
8
Brand share
15.3%
Top prescribed drugs
Gabapentin47 claims
Oxycodone Hcl34 claims
Hydrocodone/Acetaminophen26 claims
Tamsulosin Hcl18 claims
Escitalopram Oxalate12 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
565
Unique beneficiaries
—
Total services
1,469
Distinct HCPCS
3
Medicare payment
$118K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 151 Physical Medicine and Rehabilitation providers in MO — above median (cohort median 1,216).
REFERRAL NETWORK

Where Herbert Villaflores'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). 41 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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WHEELER, CATHERINE1221,122
Peter Holtz
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1212,056
Kelby Napier
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83984
Debbie Bennett
Diagnostic Radiology · Saint Louis, MO
81774
PEDDI, RAJESHWAR63794
COOPER, PATRICIA601,208
Phillip Apprill
Cardiology · Saint Louis, MO
41517
Peter Emerson
Internal Medicine · Richmond Heights, MO
40510
Gerard Erker
Psychologist, Clinical · Saint Louis, MO
39476
Usha Muthyala
Hospitalist · Belleville, IL
35661
Debapriya De
Hospitalist · Tacoma, WA
27256
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.