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PROVIDER PROFILE · NPI 1720015647

Kenneth MarguliesMD

PRACTICEUNIVERSITY OF PENN - MEDICAL GROUPSee all providers at this practice →
Advanced Heart Failure and Transplant CardiologyPhiladelphia, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
84.9
Quality
73.6
Cost
76.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.42%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$450
Payment records
2
By payment type
Food and Beverage$450
PRESCRIBING · PART D · 2024
Total Rx claims
787
Beneficiaries
—
Total drug cost
$329K
Distinct drugs
18
Brand share
38.4%
Top prescribed drugs
Sacubitril/Valsartan144 claims
Carvedilol111 claims
Spironolactone69 claims
Atorvastatin Calcium69 claims
Metoprolol Succinate69 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
258
Unique beneficiaries
—
Total services
396
Distinct HCPCS
5
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 71 Advanced Heart Failure and Transplant Cardiology providers in PA — bottom quintile (cohort median 986).
REFERRAL NETWORK

Where Kenneth Margulies'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). 48 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
J. Rame
Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA
79219
Joyce Wald
Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA
63248
Anjali Owens
Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA
56164
Lee Goldberg
Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA
56214
Ana Kolansky
Diagnostic Radiology · Philadelphia, PA
55114
Michael Riley
Clinical Cardiac Electrophysiology · Philadelphia, PA
53129
Susan Roth
Diagnostic Radiology · Philadelphia, PA
4966
Warren Gefter
Diagnostic Radiology · Philadelphia, PA
42100
James Kirkpatrick
Cardiology · Seattle, WA
4278
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
40126
Rosita Shah
Diagnostic Radiology · Philadelphia, PA
3875
Yuchi Han
Cardiology · Columbus, OH
3851
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.