Vibra Specialty Hospital - Portland · Referral network

HSA 38043 · 2017 · 1903 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
-3,164,788
Median F
-280,802
Min F
-184,928,690
Max F
460.3

From referral_network_features

Nodes
2,911
Edges
25,352
Avg clustering
0.582
Density
0.0060
Forman μ
-134
Forman σ
193.6

Rendered graph structure

Total weight
419,037
Avg degree
8.41
Max degree
451
Negative F edges
7,876
Positive F edges
124
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 1811163371
Degree 451 · weight 36,373
451
#2
NPI 1235199704
Degree 427 · weight 33,638
427
#3
NPI 1609035849
Degree 324 · weight 21,497
324
#4
NPI 1023104726
Degree 274 · weight 17,288
274
#5
NPI 1750373056
Degree 259 · weight 14,961
259
#6
NPI 1487697488
Degree 201 · weight 14,418
201
#7
NPI 1679581128
Degree 217 · weight 14,088
217
#8
NPI 1114919610
Degree 225 · weight 13,637
225

Most negative curvature

#1
Forman -184,928,690
12351997041811163371
Weight 1,635 · Forman -184,928,690
#2
Forman -126,531,770
16090358491811163371
Weight 1,266 · Forman -126,531,770
#3
Forman -110,223,219
12351997041609035849
Weight 1,143 · Forman -110,223,219
#4
Forman -105,045,279
10231047261811163371
Weight 1,072 · Forman -105,045,279
#5
Forman -93,245,734
10231047261235199704
Weight 1,025 · Forman -93,245,734
#6
Forman -90,607,468
16795811281811163371
Weight 945 · Forman -90,607,468
#7
Forman -80,996,281
12351997041679581128
Weight 933 · Forman -80,996,281
#8
Forman -59,310,482
18110687521811163371
Weight 570 · Forman -59,310,482

Strongest referral edges

#1
Weight 1,635
12351997041811163371
Weight 1,635 · Forman -184,928,690
#2
Weight 1,266
16090358491811163371
Weight 1,266 · Forman -126,531,770
#3
Weight 1,143
12351997041609035849
Weight 1,143 · Forman -110,223,219
#4
Weight 1,072
10231047261811163371
Weight 1,072 · Forman -105,045,279
#5
Weight 1,025
10231047261235199704
Weight 1,025 · Forman -93,245,734
#6
Weight 945
16795811281811163371
Weight 945 · Forman -90,607,468
#7
Weight 933
12351997041679581128
Weight 933 · Forman -80,996,281
#8
Weight 751
10231047261609035849
Weight 751 · Forman -51,941,009