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PROVIDER PROFILE · NPI 1811929342

Theodore MlapahM.D.

HospitalistHolyoke, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
83.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$82
Payment records
5
By payment type
Food and Beverage$82
PRESCRIBING · PART D · 2024
Total Rx claims
189
Beneficiaries
—
Total drug cost
$17K
Distinct drugs
10
Brand share
41.3%
Top prescribed drugs
Cefuroxime Axetil45 claims
Prednisone26 claims
Amoxicillin/Potassium Clav18 claims
Doxycycline Monohydrate18 claims
Furosemide17 claims
REFERRAL NETWORK

Where Theodore Mlapah'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). 58 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Nayyer Ghias
Hospitalist · Holyoke, MA
95289
Cemil Erdem
Emergency Medicine · Springfield, MA
91246
Diana Israeli
Internal Medicine · Northampton, MA
91361
Julian Hernandez
Emergency Medicine · Natchitoches, LA
83193
Yong Hwa Lee
Emergency Medicine · Somerville, MA
82232
Mohammad Bajwa
Internal Medicine · Holyoke, MA
79282
CLINTON, DAVID70260
Jennifer Mark
Family Practice · Athol, MA
59154
Juan Paolo Lirio
Internal Medicine · Norwalk, CT
57169
Mrinal Mali
Diagnostic Radiology · Hartford, CT
48116
Fire District No. 1
Ambulance Service Provider · South Hadley, MA
46134
Francis Martinez
General Surgery · Holyoke, MA
42180
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
630
Unique beneficiaries
—
Total services
1,137
Distinct HCPCS
8
Medicare payment
$79K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 599 Hospitalist providers in MA — top quintile (cohort median 492).