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PROVIDER PROFILE · NPI 1851587356

Anthony CaffarelliM.D.

Cardiac SurgeryMissoula, MTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
370
Unique beneficiaries
—
Total services
378
Distinct HCPCS
10
Medicare payment
$114K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3 Cardiac Surgery providers in MT — bottom quintile (cohort median 591).
PRESCRIBING · PART D · 2024
Total Rx claims
76
Beneficiaries
—
Total drug cost
$423
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Mupirocin76 claims
QUALITY · MIPS · 2024
Final MIPS score
87.5
Quality
84.1
Cost
74.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.53%
Group
REFERRAL NETWORK

Where Anthony Caffarelli'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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Colin Joyo
Cardiac Surgery · Laguna Hills, CA
43158
Scott Williams
Diagnostic Radiology · Stanford, CA
42109
Jorge Castellanos
Cardiology · Newport Beach, CA
41302
Unilab Corporation
Clinical Laboratory · West Hills, CA
37156
William Vandalsem
Diagnostic Radiology · Newport Beach, CA
3584
Aidan Raney
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Newport Beach, CA
32111
Winston Whitney
Diagnostic Radiology · Newport Beach, CA
3175
Frederick Birnberg
Diagnostic Radiology · Newport Beach, CA
2790
John Lieu
Diagnostic Radiology · Palo Alto, CA
2459
David Chavez
Anesthesiology · Newport Beach, CA
1959
Shaya Ghazinoor
Diagnostic Radiology · Newport Beach, CA
1944
Karence Chan
Diagnostic Radiology · Newport Beach, CA
1849
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$17K
Payment records
32
By payment type
Consulting Fee$15K
Travel and Lodging$2K
Food and Beverage$527
Top paying entities
Consulting Fee$15K
Travel and Lodging$2K
Food and Beverage$527