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PROVIDER PROFILE · NPI 1073506291

Benjamin ProtoDPM

PodiatryNewport News, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 497644
Home health agency
CCN 490041
Hospital
CCN 490066
Hospital
CCN 490093
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,594
Unique beneficiaries
—
Total services
11,184
Distinct HCPCS
28
Medicare payment
$208K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 344 Podiatry providers in VA — top quintile (cohort median 1,815).
PRESCRIBING · PART D · 2024
Total Rx claims
372
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
8
Brand share
30.9%
Top prescribed drugs
Methylprednisolone127 claims
Diclofenac Sodium61 claims
Oxycodone Hcl/Acetaminophen58 claims
Cephalexin47 claims
Sulfamethoxazole/Trimethoprim33 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$3K
Payment records
17
By payment type
Royalty or License$2K
Travel and Lodging$716
Food and Beverage$606
REFERRAL NETWORK

Where Benjamin Proto'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). 17 inbound referrers · 32 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
RIVERSIDE HOSPITAL INC119458
MARY IMMACULATE HOSPITAL LLC54162
SENTARA HOSPITALS52149
SENTARA HOSPITALS47176
WOOD, WILLIAM3679
Mary Immaculate Ambulatory Surgery Center Llc
Ambulatory Surgical Center · Newport News, VA
2955
MONTILEONE, MICHAEL28109
Matthew Hopson
Podiatry · Williamsburg, VA
27133
Lisa Cash
Family Practice · West Point, VA
16139
James Primich
Diagnostic Radiology · Richmond, VA
1562
Lara Pawlow Quinlan
Sports Medicine · Newport News, VA
14106
Aleisha Johnson
Diagnostic Radiology · Williamsburg, VA
1317
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
RIVERSIDE HOSPITAL INC119452
SENTARA HOSPITALS1151,073
SENTARA HOSPITALS60201
MARY IMMACULATE HOSPITAL LLC59171
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
52127
Mary Immaculate Ambulatory Surgery Center Llc
Ambulatory Surgical Center · Newport News, VA
40146
WOOD, WILLIAM3857
SENTARA HOSPITALS35158
Matthew Hopson
Podiatry · Williamsburg, VA
31135
Eleanor Erwin
Emergency Medicine · Williamsburg, VA
23146
MONTILEONE, MICHAEL2298
Michael Mccarthy
Physician Assistant · Newport News, VA
2050
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.