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PROVIDER PROFILE · NPI 1871795203

Theodore HaleyM.D.

General SurgeryGilbert, AZI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.9
Quality
6.7
Cost
77.3
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.84%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$476
Payment records
11
By payment type
Food and Beverage$476
PRESCRIBING · PART D · 2024
Total Rx claims
173
Beneficiaries
—
Total drug cost
$874
Distinct drugs
4
Brand share
82.1%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen73 claims
Ondansetron52 claims
Ondansetron Hcl31 claims
Hydrocodone/Acetaminophen17 claims
REFERRAL NETWORK

Where Theodore Haley'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
OH, RICHARD2983
Sumeet Kadakia
General Surgery · Gilbert, AZ
2183
George Corcoran
Pathology · Gilbert, AZ
1424
Guangming Guo
Pathology · Mesa, AZ
1421
Melissa Gurley
Interventional Radiology · Phoenix, AZ
1336
Jessica Swanson
Nurse Practitioner · Phoenix, AZ
1224
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
186
Unique beneficiaries
—
Total services
190
Distinct HCPCS
6
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 455 General Surgery providers in AZ — above median (cohort median 260).