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PROVIDER PROFILE · NPI 1922013671

Charles HejnyMD

OphthalmologyNeenah, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,483
Unique beneficiaries
—
Total services
4,700
Distinct HCPCS
16
Medicare payment
$809K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 304 Ophthalmology providers in WI — top quintile (cohort median 1,730).
REFERRAL NETWORK

Where Charles Hejny'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
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS39111
ASCENSION NE WISCONSIN, INC2861
Tyson Schwiesow
Ophthalmology · Green Bay, WI
1956
MERCY MEDICAL CENTER OF OSHKOSH, INC.1867
Kurt Schwiesow
Ophthalmology · Green Bay, WI
1529
AURORA MEDICAL CENTER OF OSHKOSH, INC1430
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.
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
102
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
5
Brand share
0.0%
Top prescribed drugs
Ketorolac Tromethamine34 claims
Latanoprost22 claims
Prednisolone Acetate17 claims
Brimonidine Tartrate15 claims
Timolol Maleate14 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.