PROVIDER PROFILE · NPI 1982680781

Nelson De GuzmanMD

PRACTICEDEPT. OF VETERAN'S AFFAIRSSee all providers at this practice →

Internal MedicineRedding, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

243

Unique beneficiaries

—

Total services

246

Distinct HCPCS

Medicare payment

$14K

Peer benchmark

Total Medicare services vs. 10,499 Internal Medicine providers in CA — below median (cohort median 531).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$230

Distinct drugs

Brand share

55.6%

Top prescribed drugs

Amoxicillin/Potassium Clav16 claims

Sulfamethoxazole/Trimethoprim14 claims

Cephalexin13 claims

Azithromycin11 claims

QUALITY · MIPS · 2024

Final MIPS score

81.5

Quality

60.5

Cost

68.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.27%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Nelson De Guzman'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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ENLOE MEDICAL CENTER	387	790
NPI 1124110218	53	58
Tanya Layne Family Practice · Chico, CA	44	49
Michael Grant Diagnostic Radiology · Eden Prairie, MN	28	40
Michele Farrar Nurse Practitioner · Chico, CA	27	34
AMPLA HEALTH	25	42
BEATTIE, JESSICA	21	22
HALL, DAVID	21	21
ORY, LINDA	20	21
WARREN, JAMES	20	28
Sampath Kumar Alapati Diagnostic Radiology · Strongsville, OH	19	22
Frances Katris Emergency Medicine · Chico, CA	15	26

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