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PROVIDER PROFILE · NPI 1033298138

Dorothy NicholsonM.D.

RheumatologyAlexandria, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 490040
Hospital
CCN 490050
Hospital
CCN 490122
Hospital
REFERRAL NETWORK

Where Dorothy Nicholson'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). 4 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
98261
INOVA HEALTH CARE SERVICES55104
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
2132
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
2131
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
189544
INOVA HEALTH CARE SERVICES68142
INOVA HEALTH CARE SERVICES50139
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
3382
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
2438
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1426
Deborah Blair
Diagnostic Radiology · Springfield, VA
1218
INOVA HEALTH CARE SERVICES1227
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM1225
Christina Braun
Ophthalmology · Alexandria, VA
1114
Adnan Adawi
Pulmonary Disease · Alexandria, VA
1146
Leslie Cuiper
Internal Medicine · Alexandria, VA
1137
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
1,038
Unique beneficiaries
—
Total services
7,160
Distinct HCPCS
12
Medicare payment
$223K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 118 Rheumatology providers in VA — above median (cohort median 3,346).
PRESCRIBING · PART D · 2024
Total Rx claims
1,161
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
26
Brand share
31.7%
Top prescribed drugs
Methotrexate Sodium178 claims
Prednisone177 claims
Hydroxychloroquine Sulfate116 claims
Alendronate Sodium114 claims
Allopurinol81 claims
QUALITY · MIPS · 2024
Final MIPS score
26.2
Quality
0.0
Cost
87.5
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.85%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$31
Payment records
2
By payment type
Food and Beverage$31