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PROVIDER PROFILE · NPI 1003892720

Paul PedersenM.D.

PRACTICEKNOX FAMILY MEDICINESee all providers at this practice →
General PracticeBarbourville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 187029
Home health agency
CCN 180080
Hospital
CCN 181328
Hospital
REFERRAL NETWORK

Where Paul Pedersen'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). 21 inbound referrers · 47 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
KNOX HOSPITAL CORPORATION1541,318
Cynthia Goodin
Nurse Practitioner · Barbourville, KY
56194
James West
Family Practice · Barbourville, KY
52368
Michelle Broughton
Nurse Practitioner · Barbourville, KY
50127
Knox County Ambulance Service
Ambulance Service Provider · Barbourville, KY
41247
Aruna Polsani
Diagnostic Radiology · Saint Johns, FL
38135
Lonnie Bargo
Diagnostic Radiology · Corbin, KY
3686
KNOX COUNTY HEALTH DEPARTMENT34108
LYNN, DENNIS30136
Raju Vora
Gastroenterology · Barbourville, KY
29180
Tejal Lalaji
Diagnostic Radiology · Atlanta, GA
2871
Larry Warren
Emergency Medicine · Hyden, KY
2677
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BAPTIST HEALTHCARE SYSTEM, INC4421,957
BAPTIST HEALTH MEDICAL GROUP INC4251,819
KNOX HOSPITAL CORPORATION2131,793
Susan Hodge
Physician Assistant · Barbourville, KY
111372
MARINO, PHILIP109266
Aegis Sciences Corporation
Clinical Laboratory · Nashville, TN
83276
Anantha Krishna
Cardiology · Corbin, KY
77320
Cynthia Goodin
Nurse Practitioner · Barbourville, KY
68207
Michelle Broughton
Nurse Practitioner · Barbourville, KY
55159
James West
Family Practice · Barbourville, KY
50328
DANIEL, WILLIAM49136
Harold Reedy
Diagnostic Radiology · Corbin, KY
47129
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
80
Unique beneficiaries
—
Total services
96
Distinct HCPCS
2
Medicare payment
$849
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 38 General Practice providers in KY — below median (cohort median 339).
PRESCRIBING · PART D · 2024
Total Rx claims
17,796
Beneficiaries
—
Total drug cost
$2.8M
Distinct drugs
202
Brand share
28.0%
Top prescribed drugs
Atorvastatin Calcium1,128 claims
Losartan Potassium574 claims
Pantoprazole Sodium533 claims
Montelukast Sodium473 claims
Omeprazole467 claims
QUALITY · MIPS · 2024
Final MIPS score
94.3
Quality
87.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.81%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
48
By payment type
Food and Beverage$1K