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PROVIDER PROFILE · NPI 1003006115

Benjamin DurhamPA-C

Physician AssistantThomaston, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 010168
Hospital
CCN 110002
Hospital
CCN 110161
Hospital
CCN 110200
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,760
Unique beneficiaries
—
Total services
5,377
Distinct HCPCS
27
Medicare payment
$104K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
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
8
Brand share
0.0%
Top prescribed drugs
Methylprednisolone235 claims
Gabapentin189 claims
Tramadol Hcl53 claims
Prednisone35 claims
Meloxicam31 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
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
PhysicianPatientsVisits
DONATI, NORMAN87238
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
1421
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DONATI, NORMAN109381
RUSSELL COUNTY COMMUNITY HOSPITAL LLC4954
UPSON COUNTY HOSPITAL INC3374
Cameron Kersey
Diagnostic Radiology · Columbus, GA
2634
Susan Kaku
Physical Therapist in Private Practice · Peachtree City, GA
23139
Najeeb Siddique
Anesthesiology · Charleston, SC
2124
Rourke Stay
Diagnostic Radiology · Columbus, GA
2022
DERUMS, JILL1879
Daryl Ellis
Family Practice · Phenix City, AL
1523
Jonathan Busbee
Internal Medicine · Thomaston, GA
1341
DRAPER, DANIEL1214
Rajesh Arora
Anesthesiology · Columbus, GA
1112
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.
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