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PROVIDER PROFILE · NPI 1104252220

Sheila HigdonFNP-C

Nurse PractitionerHarrisonburg, VAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
2,414
Beneficiaries
—
Total drug cost
$152K
Distinct drugs
68
Brand share
19.2%
Top prescribed drugs
Atorvastatin Calcium116 claims
Lisinopril115 claims
Levothyroxine Sodium108 claims
Losartan Potassium92 claims
Amlodipine Besylate86 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 497058
Home health agency
CCN 497256
Home health agency
CCN 497646
Home health agency
CCN 490004
Hospital
CCN 491305
Hospital
CCN 491307
Hospital
REFERRAL NETWORK

Where Sheila Higdon'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). 2 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SHENANDOAH MEMORIAL HOSPITAL, INC.40160
Nance Lovelace
Family Practice · New Market, VA
36122
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Winchester Medical Center
Clinical Laboratory · Winchester, VA
54198
Nance Lovelace
Family Practice · New Market, VA
44184
SHENANDOAH MEMORIAL HOSPITAL, INC.39128
SENTARA RMH MEDICAL CENTER22107
WINCHESTER MEDICAL CENTER1220
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
251
Unique beneficiaries
—
Total services
347
Distinct HCPCS
4
Medicare payment
$19K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 5,426 Nurse Practitioner providers in VA — above median (cohort median 281).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$103
Payment records
6
By payment type
Food and Beverage$103