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PROVIDER PROFILE · Loading…
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PROVIDER PROFILE · NPI 1023085719

John SmithMD

GastroenterologyCanonsburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 360159
Hospital
QUALITY · MIPS · 2024
Final MIPS score
83.9
Quality
71.1
Cost
75.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.38%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$251
Payment records
14
By payment type
Food and Beverage$251
PRESCRIBING · PART D · 2024
Total Rx claims
151
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
5
Brand share
7.3%
Top prescribed drugs
Pantoprazole Sodium95 claims
Omeprazole18 claims
Dicyclomine Hcl16 claims
Sod Picosulf/Mag Ox/Citric Ac11 claims
Famotidine11 claims
REFERRAL NETWORK

Where John Smith'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). 5 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UPMC HORIZON80301
Ronald Brennan
Diagnostic Radiology · Greenville, PA
2157
Matthew Bee
Diagnostic Radiology · Greenville, PA
2038
David Cline
Diagnostic Radiology · Little Rock, AR
1839
SHARON PENNSYLVANIA HOSPITAL COMPANY LLC1329
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC HORIZON91215
UPMC HORIZON86319
PERRY, LINA45105
SEGALL, GARY3369
ETTYREDDY, MOHAN2252
DIGUMARTHI, LAKSHMI1943
Scott Pickering
Diagnostic Radiology · Greenville, PA
1852
Constance Linn
Anesthesiology · Du Bois, PA
1844
David Cline
Diagnostic Radiology · Little Rock, AR
1738
Constantine Petrochko
Diagnostic Radiology · Greenville, PA
1730
Ronald Brennan
Diagnostic Radiology · Greenville, PA
1529
Matthew Bee
Diagnostic Radiology · Greenville, PA
1428
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
121
Unique beneficiaries
—
Total services
128
Distinct HCPCS
6
Medicare payment
$10K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 771 Gastroenterology providers in PA — bottom quintile (cohort median 585).