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PROVIDER PROFILE · NPI 1679581367

Erik EnglehartM.D.

Family PracticeSandwich, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
95.6
Quality
88.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.87%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,069
Unique beneficiaries
—
Total services
4,381
Distinct HCPCS
19
Medicare payment
$257K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,221 Family Practice providers in IL — top quintile (cohort median 556).
PRESCRIBING · PART D · 2024
Total Rx claims
50,112
Beneficiaries
—
Total drug cost
$3.0M
Distinct drugs
293
Brand share
24.1%
Top prescribed drugs
Atorvastatin Calcium2,615 claims
Levothyroxine Sodium2,120 claims
Furosemide1,809 claims
Amlodipine Besylate1,533 claims
Gabapentin1,427 claims
REFERRAL NETWORK

Where Erik Englehart'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). 68 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
VALLEY WEST COMMUNITY HOSPITAL3032,831
LIFESCAN LABORATORY, INC.1641,555
Ridge Ambulance Service Inc
Ambulance Service Provider · Montgomery, IL
112563
GIBSON, DAVID65542
KATHERINE SHAW BETHEA HOSPITAL63540
Michael Hutchinson
Diagnostic Radiology · Aurora, IL
57326
Biotech X-Ray Inc
Portable X-Ray Supplier · Saint Louis, MO
49137
COPLEY MEMORIAL HOSPITAL, INC.49297
RIFENBURG, NANCY48295
THE TILLERS NURSING AND REHABILITATION CENTER44353
Sandy Kwak
Diagnostic Radiology · Aurora, IL
43128
Nicholas Kennedy
Interventional Radiology · Kamuela, HI
42176
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.