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PROVIDER PROFILE · NPI 1790724714

Luis OrtegaMD

NephrologyPittsburgh, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Luis Ortega'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). 26 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WEST PENN ALLEGHENY HEALTH SYSTEM INC.91332
Jeffrey Mueller
Diagnostic Radiology · Pittsburgh, PA
40119
Christopher Bonnet
Clinical Cardiac Electrophysiology · Pittsburgh, PA
39137
David Epstein
Diagnostic Radiology · Pittsburgh, PA
36125
Timothy Mickus
Diagnostic Radiology · Pittsburgh, PA
3694
TOTAL RENAL CARE INC32291
Rishi Maheshwary
Diagnostic Radiology · Pittsburgh, PA
2878
Rozlyn Berty
Internal Medicine · Pittsburgh, PA
27192
Khaled Nashar
Nephrology · Pittsburgh, PA
2674
Paul Klepchick
Diagnostic Radiology · Pittsburgh, PA
2548
Adrienne Vargo
Diagnostic Radiology · Saint Paul, MN
2455
Bibianna Klepchick
Diagnostic Radiology · Pittsburgh, PA
2251
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
309
Unique beneficiaries
—
Total services
509
Distinct HCPCS
7
Medicare payment
$50K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 452 Nephrology providers in PA — below median (cohort median 1,017).
PRESCRIBING · PART D · 2024
Total Rx claims
1,580
Beneficiaries
—
Total drug cost
$204K
Distinct drugs
37
Brand share
23.6%
Top prescribed drugs
Amlodipine Besylate157 claims
Ramipril140 claims
Carvedilol99 claims
Chlorthalidone81 claims
Calcitriol76 claims
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
85.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$23
Payment records
1
By payment type
Food and Beverage$23