What is Matthew Hughes's specialty?

Matthew Hughes (NPI 1013111889) is a Medicare-billing provider whose primary specialty is Colorectal Surgery (Proctology) in Plano, TX.

Where does Matthew Hughes practice?

Matthew Hughes practices in Plano, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1013111889.

How much does Medicare pay Matthew Hughes?

Matthew Hughes (NPI 1013111889) received approximately $43K in total Medicare Part B payments, serving 121 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1013111889

Matthew HughesM.D.

Colorectal Surgery (Proctology)Plano, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

207

Unique beneficiaries

—

Total services

232

Distinct HCPCS

Medicare payment

$20K

Peer benchmark

Total Medicare services vs. 159 Colorectal Surgery (Proctology) providers in TX — below median (cohort median 395).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$194

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Metronidazole18 claims

Tramadol Hcl18 claims

Neomycin Sulfate16 claims

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

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$848

Payment records

By payment type

Travel and Lodging$568

Food and Beverage$280

Top paying entities

Travel and Lodging$568

Food and Beverage$280

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Home health agency

Hospital

Hospital

Hospital

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

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	11	39

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NPI 1952509465	44	121
Randall Crim Colorectal Surgery (Proctology) · Irving, TX	13	36
COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP	11	31
NPI 1518947472	11	33
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Irving, TX	11	29

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events