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PROVIDER PROFILE · NPI 1104147479

NPI 1104147479

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1104147479'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). 44 inbound referrers · 89 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PALMETTO TRANSPORT SYSTEMS, LLC117393
County Of Dillon
Ambulance Service Provider · Dillon, SC
85252
Michael Smith
Family Practice · Florence, SC
74228
Martin Duclos
Internal Medicine · Conway, SC
70242
Mark Carroll
Emergency Medicine · Mullins, SC
68132
DEDONIS, JAMES54119
Robert Jolley
Family Practice · Norton, VA
51119
Adam Biglin
Podiatry · Myrtle Beach, SC
5070
County Of Marion
Ambulance Service Provider · Marion, SC
4577
QHG OF SOUTH CAROLINA INC4075
Russell Derrick
Diagnostic Radiology · Conway, SC
3865
Christo Courban
Emergency Medicine · Mullins, SC
3661
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Gangatharan Mathisuthan
Internal Medicine · Mullins, SC
6175,724
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
370790
QHG OF SOUTH CAROLINA INC3391,069
Ricky Kidman
Physician Assistant · Aynor, SC
3312,113
PALMETTO TRANSPORT SYSTEMS, LLC112322
KLAUBER, THOMAS98207
CARLYLE SENIOR CARE OF FORK, LLC98443
Select Laboratories Sc Llc
Clinical Laboratory · Manning, SC
97663
County Of Dillon
Ambulance Service Provider · Dillon, SC
91263
Mark Carroll
Emergency Medicine · Mullins, SC
75164
Michael Smith
Family Practice · Florence, SC
74184
Marlon Clarke
Family Practice · Columbia, SC
71252
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.