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PROVIDER PROFILE · NPI 1033733704
Dominique Bultsma
MD
Internal Medicine
Charleston,
SC
I
CROSS-REFERENCE
Related data on other Healthparse brands
ProviderScore
OIG/SAM exclusion screening, sanctions history
FACILITY AFFILIATIONS
Hospital & Facility Affiliations (4)
CCN 420065
Hospital
CCN 420087
Hospital
CCN 420104
Hospital
CCN 420110
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
368
Unique beneficiaries
—
Total services
625
Distinct HCPCS
6
Medicare payment
$50K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,190 Internal Medicine providers in SC — below median (cohort median 884).
PRESCRIBING · PART D · 2024
Total Rx claims
58
Beneficiaries
—
Total drug cost
$355
Distinct drugs
4
Brand share
0.0%
Top prescribed drugs
Amlodipine Besylate
21 claims
Pantoprazole Sodium
15 claims
Atorvastatin Calcium
11 claims
Furosemide
11 claims
QUALITY · MIPS · 2024
Final MIPS score
84.1
Quality
79.2
Cost
69.7
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.38%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
