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PROVIDER PROFILE · NPI 1962545525

Aileen Heras-HerzigM.D.

EndocrinologyCovington, KYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Aileen Heras-Herzig'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
PhysicianPatientsVisits
St Elizabeth Medical Center, Inc
Portable X-Ray Supplier · Edgewood, KY
93514
ST ELIZABETH MEDICAL CENTER, INC2167
SHEEHAN, IVY1438
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
539
Unique beneficiaries
—
Total services
970
Distinct HCPCS
6
Medicare payment
$49K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 66 Endocrinology providers in KY — top quintile (cohort median 935).
PRESCRIBING · PART D · 2024
Total Rx claims
4,678
Beneficiaries
—
Total drug cost
$1.8M
Distinct drugs
61
Brand share
55.2%
Top prescribed drugs
Levothyroxine Sodium656 claims
Metformin Hcl316 claims
Semaglutide258 claims
Insulin Glargine,hum.Rec.Anlog207 claims
Tirzepatide184 claims
QUALITY · MIPS · 2024
Final MIPS score
93.0
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$771
Payment records
36
By payment type
Food and Beverage$771