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PROVIDER PROFILE · NPI 1922104348

Rache SimmonsM.D.

Surgical OncologyNew York, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$625
Payment records
2
By payment type
Grant$600
Food and Beverage$25
Top paying entities
Grant$600
Food and Beverage$25
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
85.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Rache Simmons'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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Melissa Reichman
Diagnostic Radiology · New York, NY
2678
Carolyn Eisen
Diagnostic Radiology · New York, NY
2365
Syed Hoda
Pathology · New York, NY
22110
Janine Katzen
Diagnostic Radiology · New York, NY
2241
Katerina Dodelzon
Diagnostic Radiology · New York, NY
1841
Tessa Cigler
Medical Oncology · New York, NY
1528
T. Babagbemi
Diagnostic Radiology · New York, NY
1414
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
373
Unique beneficiaries
—
Total services
384
Distinct HCPCS
9
Medicare payment
$115K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 112 Surgical Oncology providers in NY — above median (cohort median 256).