Valley Hospital -Spokane · Referral network

HSA 50059 · 2017 · 1074 physicians · 6617 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
-395,062
Median F
-126,256
Min F
-14,025,846
Max F
1,024

From referral_network_features

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

Nodes
1,293
Edges
22,185
Avg clustering
0.589
Density
0.0266
Forman μ
-84.5
Forman σ
82.5

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
320,259
Avg degree
12.32
Max degree
233
Negative F edges
6,558
Positive F edges
59
Nonzero F edges
6,617

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 1467455543
Degree 233 · weight 13,576
233
#2
NPI 1982679619
Degree 143 · weight 8,570
143
#3
NPI 1457364770
Degree 112 · weight 7,568
112
#4
NPI 1023032976
Degree 129 · weight 7,557
129
#5
NPI 1538118062
Degree 97 · weight 7,220
97
#6
NPI 1194938522
Degree 102 · weight 7,209
102
#7
NPI 1255380788
Degree 75 · weight 6,729
75
#8
NPI 1316900665
Degree 77 · weight 6,489
77

Most negative curvature

#1
Forman -14,025,846
1467455543 → 1982679619
Weight 367 · Forman -14,025,846
#2
Forman -13,635,436
1023032976 → 1467455543
Weight 382 · Forman -13,635,436
#3
Forman -10,592,389
1467455543 → 1861425571
Weight 318 · Forman -10,592,389
#4
Forman -9,790,592
1467455543 → 1639309875
Weight 255 · Forman -9,790,592
#5
Forman -9,640,235
1336195064 → 1467455543
Weight 262 · Forman -9,640,235
#6
Forman -9,396,364
1013931997 → 1467455543
Weight 267 · Forman -9,396,364
#7
Forman -9,285,306
1467455543 → 1851316343
Weight 249 · Forman -9,285,306
#8
Forman -8,865,879
1356559975 → 1467455543
Weight 255 · Forman -8,865,879

Strongest referral edges

#1
Weight 886
1457546590 → 1932539137
Weight 886 · Forman -4,924
#2
Weight 696
1124071592 → 1851577522
Weight 696 · Forman -1,002,897
#3
Weight 648
1023369527 → 1255380788
Weight 648 · Forman -2,891,962
#4
Weight 619
1316216369 → 1346394491
Weight 619 · Forman -352,521
#5
Weight 599
1508075961 → 1528363835
Weight 599 · Forman -203,760
#6
Weight 572
1407167471 → 1932451796
Weight 572 · Forman -1,656,729
#7
Weight 523
1790960334 → 1952445223
Weight 523 · Forman -736,793
#8
Weight 522
1285072264 → 1528107562
Weight 522 · Forman -267,354