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PROVIDER PROFILE · NPI 1851518898

Michael SimmonsM.D.

Diagnostic RadiologyAlbuquerque, NMI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,847
Unique beneficiaries
—
Total services
2,263
Distinct HCPCS
34
Medicare payment
$39K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 158 Diagnostic Radiology providers in NM — above median (cohort median 2,381).
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Michael Simmons'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). 190 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Bernalillo County Health Care Corporation
Ambulance Service Provider · Albuquerque, NM
363716
Silanath Terpenning
Diagnostic Radiology · Winston Salem, NC
193452
WIEST, PHILIP182481
Jon Hallstrom
Diagnostic Radiology · Albuquerque, NM
153382
Loren Ketai
Interventional Radiology · Albuquerque, NM
147320
PRESBYTERIAN HEALTHCARE SERVICES139424
Kelly Kieper
Diagnostic Radiology · Albuquerque, NM
130246
Jennifer Pohl
Diagnostic Radiology · Albuquerque, NM
127277
Kirsten Tolstrup
Cardiology · San Francisco, CA
117217
TRICORE REFERENCE LABORATORIES112273
Michael Williamson
Diagnostic Radiology · Albuquerque, NM
110260
Scott Carter
Diagnostic Radiology · Winston Salem, NC
94175
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.
QUALITY · MIPS · 2024
Final MIPS score
89.6
Quality
75.5
Cost
76.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.62%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.