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PROVIDER PROFILE · NPI 1013111889

Matthew HughesM.D.

Colorectal Surgery (Proctology)Plano, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 457789
Home health agency
CCN 450771
Hospital
CCN 450853
Hospital
CCN 670346
Hospital
QUALITY · MIPS · 2024
Final MIPS score
85.1
Quality
67.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.43%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
52
Beneficiaries
—
Total drug cost
$194
Distinct drugs
3
Brand share
0.0%
Top prescribed drugs
Metronidazole18 claims
Tramadol Hcl18 claims
Neomycin Sulfate16 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$848
Payment records
7
By payment type
Travel and Lodging$568
Food and Beverage$280
REFERRAL NETWORK

Where Matthew Hughes'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 · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1139
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NPI 195250946544121
Randall Crim
Colorectal Surgery (Proctology) · Irving, TX
1336
COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP1131
NPI 15189474721133
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
1129
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
207
Unique beneficiaries
—
Total services
232
Distinct HCPCS
7
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 159 Colorectal Surgery (Proctology) providers in TX — below median (cohort median 395).