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PROVIDER PROFILE · NPI 1003882036

Joseph GainesMD

PRACTICEST. MARY'S HEALTHCARESee all providers at this practice →
PathologyAthens, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110006
Hospital
CCN 110027
Hospital
CCN 111329
Hospital
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,623
Unique beneficiaries
—
Total services
2,238
Distinct HCPCS
11
Medicare payment
$56K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 286 Pathology providers in GA — above median (cohort median 1,678).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Joseph Gaines'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). 65 inbound referrers · 160 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.200359
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
158237
GOOD SAMARITAN HOSPITAL, INC.92143
Asif Qadri
Gastroenterology · Athens, GA
79110
Ronald Walpert
Diagnostic Radiology · Athens, GA
64101
Amit Shah
Clinical Cardiac Electrophysiology · Athens, GA
4962
Clifford Smith
Diagnostic Radiology · Athens, GA
4762
RHODES, ROBERT4055
Clay Chappell
Interventional Cardiology · Athens, GA
3748
Lyn Lowman
Cardiology · Athens, GA
3641
Janet Wall
Diagnostic Radiology · Atlanta, GA
3242
John Carey
Nurse Practitioner · Athens, GA
3170
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. MARY'S HOSPITAL, INC.9021,258
Surgery Center Of Athens Llc
Ambulatory Surgical Center · Athens, GA
241266
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.176296
GOOD SAMARITAN HOSPITAL, INC.143192
NPI 1710024195135299
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
106148
Ronald Walpert
Diagnostic Radiology · Athens, GA
105163
Ormonde Mahoney
Orthopedic Surgery · Athens, GA
93407
HORN, WARREN93116
Stephen Burton
Physician Assistant · Athens, GA
89104
Asif Qadri
Gastroenterology · Athens, GA
87204
Everett Perry
Anesthesiology · Athens, GA
8494
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.