PROVIDER PROFILE · NPI 1861428070

John AlbertMD

PRACTICERDC PHARMACY LLCSee all providers at this practice →

RheumatologyGlendale, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,901

Unique beneficiaries

—

Total services

51,972

Distinct HCPCS

Medicare payment

$1.0M

Peer benchmark

Total Medicare services vs. 97 Rheumatology providers in WI — top quintile (cohort median 990).

PRESCRIBING · PART D · 2024

Total Rx claims

2,218

Beneficiaries

—

Total drug cost

$3.2M

Distinct drugs

Brand share

37.7%

Top prescribed drugs

Prednisone460 claims

Methotrexate Sodium350 claims

Allopurinol314 claims

Hydroxychloroquine Sulfate243 claims

Adalimumab104 claims

QUALITY · MIPS · 2024

Final MIPS score

89.3

Quality

83.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

95.0

Payment adjustment

0.60%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$94K

Payment records

238

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$64K

Consulting Fee$14K

Travel and Lodging$12K

Food and Beverage$5K

Education$19

REFERRAL NETWORK

Where John Albert'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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.	40	120
Ascension Wisconsin Laboratories, Inc Clinical Laboratory · Milwaukee, WI	26	84
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.	23	64
CHHABRIA, PRAKASH	21	52
ASCENSION SE WISCONSIN HOSPITAL, INC	17	51
ASCENSION ST FRANCIS HOSPITAL, INC	13	25
WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.	13	25

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history