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PROVIDER PROFILE · NPI 1003874025

Sophia LeeM.D.

PRACTICELOUDOUN MEDICAL GROUP, PCSee all providers at this practice →
General SurgeryLorton, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 490040
Hospital
CCN 490050
Hospital
REFERRAL NETWORK

Where Sophia Lee'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). 1 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SPRAGUE, ROBERT1239
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC99502
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
30102
SPRAGUE, ROBERT2597
Susan Caley
Diagnostic Radiology · Richmond, VA
1750
Kathy Marshall
Anesthesiology · Richmond, VA
1658
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC1445
Timothy Cole
Diagnostic Radiology · Richmond, VA
1338
Brian Pacious
Diagnostic Radiology · Richmond, VA
1243
Dean Caven
Cardiology · Mechanicsville, VA
1167
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
56
Unique beneficiaries
—
Total services
58
Distinct HCPCS
2
Medicare payment
$7K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 538 General Surgery providers in VA — bottom quintile (cohort median 316).
PRESCRIBING · PART D · 2024
Total Rx claims
44
Beneficiaries
—
Total drug cost
$279
Distinct drugs
2
Brand share
100.0%
Top prescribed drugs
Ondansetron23 claims
Oxycodone Hcl/Acetaminophen21 claims
QUALITY · MIPS · 2024
Final MIPS score
92.7
Quality
85.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.74%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$254
Payment records
7
By payment type
Food and Beverage$254