PROVIDER PROFILE · NPI 1891010997

Adam SiseM.D.

PRACTICEVILLI P ENDERS PASee all providers at this practice →

OphthalmologyPortland, MEI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,040

Unique beneficiaries

—

Total services

5,278

Distinct HCPCS

Medicare payment

$185K

Peer benchmark

Total Medicare services vs. 68 Ophthalmology providers in ME — top quintile (cohort median 1,604).

PRESCRIBING · PART D · 2024

Total Rx claims

2,390

Beneficiaries

—

Total drug cost

$110K

Distinct drugs

Brand share

12.2%

Top prescribed drugs

Prednisolone Acetate995 claims

Ketorolac Tromethamine684 claims

Polymyxin B Sulf/Trimethoprim127 claims

Valacyclovir Hcl98 claims

Fluorometholone84 claims

QUALITY · MIPS · 2024

Final MIPS score

97.9

Quality

83.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.97%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$260

Payment records

By payment type

Food and Beverage$260

REFERRAL NETWORK

Where Adam Sise'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). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Eyecare Medical Group Ambulatory Surgical Center · Portland, ME	16	37
Nordx Clinical Laboratory · Scarborough, ME	14	26
PALIOURA, SOTIRIA	13	31

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