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PROVIDER PROFILE · NPI 1861454738

Virginia CritelliMD

GastroenterologyPensacola, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
621
Unique beneficiaries
—
Total services
690
Distinct HCPCS
13
Medicare payment
$60K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,135 Gastroenterology providers in FL — below median (cohort median 817).
REFERRAL NETWORK

Where Virginia Critelli'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). 19 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNION COUNTY HOSPITAL AUTHORITY151574
Patricia Holder
Certified Registered Nurse Anesthetist (CRNA) · Blue Ridge, GA
50121
MCINTIRE, JEFFREY45162
Donald Sears
Pathology · Atlanta, GA
4192
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
39117
NORTHSIDE HOSPITAL, INC.35107
Charles Hutchinson
Pathology · Raleigh, NC
2672
Lauren Alexander
Diagnostic Radiology · Jacksonville, FL
2351
Timothy Hanes
Diagnostic Radiology · Marietta, GA
2054
Rita Gedgaudas-Mcclees
Diagnostic Radiology · Lawrenceville, GA
1872
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
1663
Samer Maalouf
Internal Medicine · Athens, GA
1681
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.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
81.0
Quality
62.3
Cost
78.5
Improvement activities
40.0
Promoting interop.
95.0
Payment adjustment
0.25%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$111
Payment records
3
By payment type
Food and Beverage$111