Truman Med Ctr-Lakewood · Referral network

HSA 26041 · 2015 · 1071 physicians · 8000 edges

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Data source · SQLite (fallback)
CMS ≥11 patient pairs
Running from SQLite — no Neo4j required. Regional and HSA dashboards, this force graph, curvature histogram, and hub rankings all work out of the box. Advanced users can optionally load the graph into a self-hosted Neo4j instance (docker compose up -d, then npm run etl-to-neo4j) for the Cypher playground and Neo4j Browser.

Force-directed graph · edges coloured by Forman–Ricci curvature

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Curvature distribution

Mean F
-1,048,180
Median F
-409,681
Min F
-23,020,173
Max F
205.1

From referral_network_features

Precomputed on the full thresholded network (all edges, Python toolkit, unit node weights).

Nodes
1,468
Edges
33,031
Avg clustering
0.617
Density
0.0307
Forman μ
-68.6
Forman σ
89.5

Rendered graph structure

Live computation on up to 8,000 edges (SQLite row order, node-strength weights). Values will differ from precomputed stats above for large HSAs.

Total weight
496,773
Avg degree
14.94
Max degree
216
Negative F edges
7,953
Positive F edges
47
Nonzero F edges
8,000

Reading the graph

Teal edges have positive Forman curvature — efficient information flow.

Red edges have negative curvature — bottlenecks in the referral graph.

Edge width: log(patient count). Node size: degree-weighted strength.

Hub physicians

#1
NPI 1942258579
Degree 216 · weight 21,039
216
#2
NPI 1912955303
Degree 201 · weight 17,852
201
#3
NPI 1982653150
Degree 199 · weight 17,114
199
#4
NPI 1215973102
Degree 180 · weight 14,821
180
#5
NPI 1851345466
Degree 151 · weight 13,495
151
#6
NPI 1023173929
Degree 126 · weight 13,157
126
#7
NPI 1124075064
Degree 133 · weight 12,944
133
#8
NPI 1508820655
Degree 116 · weight 12,857
116

Most negative curvature

#1
Forman -23,020,173
1912955303 → 1942258579
Weight 437 · Forman -23,020,173
#2
Forman -20,791,079
1942258579 → 1982653150
Weight 370 · Forman -20,791,079
#3
Forman -18,360,975
1215973102 → 1942258579
Weight 355 · Forman -18,360,975
#4
Forman -17,369,387
1215973102 → 1912955303
Weight 396 · Forman -17,369,387
#5
Forman -17,315,206
1912955303 → 1982653150
Weight 313 · Forman -17,315,206
#6
Forman -15,391,155
1902977127 → 1942258579
Weight 318 · Forman -15,391,155
#7
Forman -15,140,365
1366612996 → 1942258579
Weight 508 · Forman -15,140,365
#8
Forman -14,701,651
1902977127 → 1982653150
Weight 393 · Forman -14,701,651

Strongest referral edges

#1
Weight 988
1023173929 → 1265572481
Weight 988 · Forman -8,359,080
#2
Weight 931
1073813036 → 1316989197
Weight 931 · Forman -385,275
#3
Weight 895
1366551533 → 1851345466
Weight 895 · Forman -11,020,300
#4
Weight 871
1427012574 → 1508820655
Weight 871 · Forman -6,227,058
#5
Weight 859
1710935952 → 1851345466
Weight 859 · Forman -10,588,805
#6
Weight 857
1124075064 → 1366551533
Weight 857 · Forman -9,101,898
#7
Weight 838
1124075064 → 1710935952
Weight 838 · Forman -8,795,827
#8
Weight 781
1023173929 → 1235189028
Weight 781 · Forman -7,058,194