What is Benjamin Durham's specialty?

Benjamin Durham (NPI 1003006115) is a Medicare-billing provider whose primary specialty is Physician Assistant in Thomaston, GA.

Where does Benjamin Durham practice?

Benjamin Durham practices in Thomaston, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1003006115.

How much does Medicare pay Benjamin Durham?

Benjamin Durham (NPI 1003006115) received approximately $113K in total Medicare Part B payments, serving 508 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1003006115

Benjamin DurhamPA-C

Physician AssistantThomaston, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,760

Unique beneficiaries

—

Total services

5,377

Distinct HCPCS

Medicare payment

$104K

Peer benchmark

Total Medicare services vs. 3,205 Physician Assistant providers in GA — top quintile (cohort median 257).

PRESCRIBING · PART D · 2024

Total Rx claims

624

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Methylprednisolone235 claims

Gabapentin189 claims

Tramadol Hcl53 claims

Prednisone35 claims

Meloxicam31 claims

QUALITY · MIPS · 2024

Final MIPS score

73.4

Quality

51.6

Cost

79.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

-0.20%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Benjamin Durham'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). 2 inbound referrers · 15 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
DONATI, NORMAN	87	238
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	14	21

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
DONATI, NORMAN	109	381
RUSSELL COUNTY COMMUNITY HOSPITAL LLC	49	54
UPSON COUNTY HOSPITAL INC	33	74
Cameron Kersey Diagnostic Radiology · Columbus, GA	26	34
Susan Kaku Physical Therapist in Private Practice · Peachtree City, GA	23	139
Najeeb Siddique Anesthesiology · Charleston, SC	21	24
Rourke Stay Diagnostic Radiology · Columbus, GA	20	22
DERUMS, JILL	18	79
Daryl Ellis Family Practice · Phenix City, AL	15	23
Jonathan Busbee Internal Medicine · Thomaston, GA	13	41
DRAPER, DANIEL	12	14
Rajesh Arora Anesthesiology · Columbus, GA	11	12

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