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PROVIDER PROFILE · NPI 1003841008

John PrahinskiMD

PRACTICEORTHOVIRGINIA, INC.See all providers at this practice →
Orthopedic SurgeryLynchburg, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
90.8
Quality
90.7
Cost
78.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.67%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 497275
Home health agency
CCN 490013
Hospital
CCN 490021
Hospital
CCN 490088
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$86
Payment records
1
By payment type
Food and Beverage$86
PRESCRIBING · PART D · 2024
Total Rx claims
761
Beneficiaries
—
Total drug cost
$8K
Distinct drugs
13
Brand share
19.3%
Top prescribed drugs
Meloxicam157 claims
Hydrocodone/Acetaminophen129 claims
Tranexamic Acid85 claims
Tramadol Hcl73 claims
Diclofenac Sodium69 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,289
Unique beneficiaries
—
Total services
6,942
Distinct HCPCS
28
Medicare payment
$193K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 549 Orthopedic Surgery providers in VA — top quintile (cohort median 1,809).
REFERRAL NETWORK

Where John Prahinski'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). 29 inbound referrers · 77 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Sean Higginson
Diagnostic Radiology · Fishersville, VA
4187
City Of Lynchburg
Ambulance Service Provider · Lynchburg, VA
3257
TOMLIN, MATTHEW2455
Eric Kline
Diagnostic Radiology · Lynchburg, VA
2350
Daniel Schepens
Diagnostic Radiology · Roanoke, VA
2353
NEWTON, RICHARD2256
HUERTA, JOYCE2137
Peter Caprise
Orthopedic Surgery · Lynchburg, VA
1834
SYDNOR, ROBERT1723
ESCHENROEDER, HARRY1743
Archibald Lord
Internal Medicine · Charlottesville, VA
1768
Matthew Sackett
Clinical Cardiac Electrophysiology · Lynchburg, VA
1643
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CENTRA HEALTH INC3071,283
Pathology Consultants Of Central Va, Inc
Clinical Laboratory · Lynchburg, VA
73175
Sean Higginson
Diagnostic Radiology · Fishersville, VA
43114
Surgery Center Of Lynchburg Llc
Ambulatory Surgical Center · Lynchburg, VA
4387
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
3874
Robert Green
Diagnostic Radiology · Valdosta, GA
3790
Timothy Hellewell
Diagnostic Radiology · Charlottesville, VA
3656
NEWTON, RICHARD3368
Daniel Schepens
Diagnostic Radiology · Roanoke, VA
3364
Kevin Hicks
Diagnostic Radiology · Lynchburg, VA
3373
ALFIERI, JOHN3271
William Andrews
Orthopedic Surgery · Lynchburg, VA
3060
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.