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PROVIDER PROFILE · NPI 1902013196

Alice HerlihyMD

Pulmonary DiseaseNorth Chesterfield, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,515
Unique beneficiaries
—
Total services
40,285
Distinct HCPCS
37
Medicare payment
$1.2M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 252 Pulmonary Disease providers in VA — top quintile (cohort median 1,019).
PRESCRIBING · PART D · 2024
Total Rx claims
4,439
Beneficiaries
—
Total drug cost
$1.8M
Distinct drugs
40
Brand share
72.9%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter673 claims
Albuterol Sulfate601 claims
Montelukast Sodium359 claims
Prednisone269 claims
Budesonide/Glycopyr/Formoterol229 claims
QUALITY · MIPS · 2024
Final MIPS score
84.5
Quality
72.0
Cost
77.3
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.40%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
50
By payment type
Food and Beverage$1K
Education$0
REFERRAL NETWORK

Where Alice Herlihy'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). 102 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
County Of Chesterfield Virginia
Ambulance Service Provider · Chesterfield, VA
108278
Pawanjit Sarna
Pulmonary Disease · South Boston, VA
85649
FIDLER, ROBERT81197
James Moore
Diagnostic Radiology · Richmond, VA
78223
Ramesh Kundur
Advanced Heart Failure and Transplant Cardiology · Midlothian, VA
77332
Jiyearn Chung
Diagnostic Radiology · Richmond, VA
76255
BON SECOURS ST FRANCIS MEDICAL CENTER LLC71200
David May
Diagnostic Radiology · Richmond, VA
64181
Gerry Reece
Diagnostic Radiology · Richmond, VA
61154
Richard Fuller
Diagnostic Radiology · Richmond, VA
57166
Fred Laine
Diagnostic Radiology · Richmond, VA
51131
Kevin Noreika
Emergency Medicine · Richmond, VA
49120
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.