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PROVIDER PROFILE · NPI 1790718922

Paul PritchardMD

PRACTICEPREVEA HEALTHSee all providers at this practice →
Internal MedicineGreen Bay, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$22
Payment records
1
By payment type
Food and Beverage$22
QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
REFERRAL NETWORK

Where Paul Pritchard'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). 1 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS26109
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.
PRESCRIBING · PART D · 2024
Total Rx claims
671
Beneficiaries
—
Total drug cost
$1.9M
Distinct drugs
32
Brand share
23.4%
Top prescribed drugs
Atorvastatin Calcium56 claims
Levothyroxine Sodium43 claims
Metoprolol Tartrate40 claims
Elexacaftor/Tezacaftor/Ivacaft39 claims
Omeprazole30 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
125
Unique beneficiaries
—
Total services
125
Distinct HCPCS
4
Medicare payment
$9K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,244 Internal Medicine providers in WI — bottom quintile (cohort median 578).