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PROVIDER PROFILE · NPI 1912985185

Theodore AddaiM.D.

CardiologyDecatur, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
8,000
Beneficiaries
—
Total drug cost
$1.6M
Distinct drugs
45
Brand share
33.7%
Top prescribed drugs
Atorvastatin Calcium837 claims
Carvedilol664 claims
Sacubitril/Valsartan624 claims
Empagliflozin601 claims
Apixaban482 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$394
Payment records
18
By payment type
Food and Beverage$394
QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,914
Unique beneficiaries
—
Total services
2,237
Distinct HCPCS
31
Medicare payment
$148K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 686 Cardiology providers in IL — below median (cohort median 2,422).
REFERRAL NETWORK

Where Theodore Addai'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). 91 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER9684,433
Bruce Linder
Diagnostic Radiology · Lisle, IL
283769
DECATUR AMBULANCE SERVICE, INC.220467
Hamid Sagha
Emergency Medicine · Decatur, IL
176401
Rebecca Baggett
Diagnostic Radiology · Springfield, IL
148291
Jeanne Kairouz
Cardiology · Decatur, IL
141370
Phillip Barnell
Family Practice · Decatur, IL
124231
Worlali Nutakor
Emergency Medicine · Decatur, IL
117250
Faisal Bukhari
Internal Medicine · Sullivan, IL
94625
Jignesh Modi
Infectious Disease · Decatur, IL
88207
Tatheer Zohra
Internal Medicine · Decatur, IL
67296
Muhammad Orakzai
Internal Medicine · Sheboygan, WI
66262
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.