PROVIDER PROFILE · NPI 1982606109

Philip NelsenMD

PRACTICERETINA VITREOUS ASSOCIATES INCSee all providers at this practice →

OphthalmologyToledo, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,948

Unique beneficiaries

—

Total services

21,288

Distinct HCPCS

Medicare payment

$3.7M

Peer benchmark

Total Medicare services vs. 597 Ophthalmology providers in OH — top quintile (cohort median 1,675).

PRESCRIBING · PART D · 2024

Total Rx claims

230

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Prednisolone Acetate76 claims

Latanoprost37 claims

Ketorolac Tromethamine32 claims

Dorzolamide Hcl22 claims

Timolol Maleate19 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

$1K

Payment records

By payment type

Food and Beverage$1K

REFERRAL NETWORK

Where Philip Nelsen'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PERACHA, MOHAMMAD	58	210
Stephen Orr Ophthalmology · Findlay, OH	47	117
Blanchard Valley Medical Associates, Inc Clinical Laboratory · Findlay, OH	41	108
MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC	41	120
THE TOLEDO HOSPITAL	38	65
Pathology Laboratories, Inc. Clinical Laboratory · Toledo, OH	36	91
Abdul Kabir Internal Medicine · Monroe, MI	19	46
WYANDOT MEMORIAL HOSPITAL	18	51
FOSTORIA HOSPITAL ASSOCIATION	16	46
MERCY HEALTH - TIFFIN HOSPITAL LLC	16	45
Carla Ford Ophthalmology · Columbus, OH	13	23
Mark Snider Family Practice · Monroe, MI	12	27

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history