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PROVIDER PROFILE · NPI 1003910118

Kenneth GwinnMD

PRACTICEKENNETH L GWINN MD PCSee all providers at this practice →
OtolaryngologyShelby Township, MII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 230047
Hospital
CCN 230089
Hospital
CCN 230130
Hospital
CCN 230216
Hospital
CCN 230269
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,237
Unique beneficiaries
—
Total services
1,888
Distinct HCPCS
11
Medicare payment
$156K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 272 Otolaryngology providers in MI — top quintile (cohort median 658).
PRESCRIBING · PART D · 2024
Total Rx claims
1,981
Beneficiaries
—
Total drug cost
$137K
Distinct drugs
25
Brand share
7.6%
Top prescribed drugs
Famotidine650 claims
Prednisone234 claims
Azelastine Hcl180 claims
Omeprazole146 claims
Ipratropium Bromide145 claims
REFERRAL NETWORK

Where Kenneth Gwinn'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). 12 inbound referrers · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WILLIAM BEAUMONT HOSPITAL157475
FALLON, BROOKE58116
QUEST DIAGNOSTICS INCORPORATED MI53204
Natalie Frisch Welch
Physician Assistant · Macomb, MI
4086
HENRY FORD MACOMB HOSPITAL CORPORATION3295
ASCENSION ST JOHN HOSPITAL3178
Magdy Nassif
Diagnostic Radiology · Sterling Heights, MI
2135
ASCENSION MACOMB OAKLAND HOSPITAL1324
Robert Chang
Internal Medicine · Mount Clemens, MI
1326
ASCENSION ST JOHN HOSPITAL1123
Jeffery Wong
Diagnostic Radiology · Troy, MI
1114
Steven Kotsonis
Family Practice · Sterling Heights, MI
1150
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WILLIAM BEAUMONT HOSPITAL180634
FALLON, BROOKE109217
QUEST DIAGNOSTICS INCORPORATED MI77369
Natalie Frisch Welch
Physician Assistant · Macomb, MI
71145
WILLIAM BEAUMONT HOSPITAL4595
REGENTS OF THE UNIVERSITY OF MICHIGAN3691
THOMAS, AMANDA3573
ASCENSION ST JOHN HOSPITAL3477
HENRY FORD MACOMB HOSPITAL CORPORATION32107
Magdy Nassif
Diagnostic Radiology · Sterling Heights, MI
2954
Deepa Setru
Diagnostic Radiology · Royal Oak, MI
2437
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
1882
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
77.5
Quality
64.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
91.0
Payment adjustment
0.11%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$521
Payment records
23
By payment type
Food and Beverage$521