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PROVIDER PROFILE · NPI 1104884246

John DowneyD.O.

PRACTICEROYAL PAIN CENTER PCSee all providers at this practice →
Physical Medicine and RehabilitationAugusta, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
14,693
Beneficiaries
—
Total drug cost
$773K
Distinct drugs
48
Brand share
38.8%
Top prescribed drugs
Oxycodone Hcl4,235 claims
Oxycodone Hcl/Acetaminophen3,011 claims
Hydrocodone/Acetaminophen1,632 claims
Hydromorphone Hcl585 claims
Gabapentin520 claims
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
98.4
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110028
Hospital
CCN 110034
Hospital
CCN 420082
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$28
Payment records
1
By payment type
Food and Beverage$28
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,791
Unique beneficiaries
—
Total services
11,401
Distinct HCPCS
14
Medicare payment
$390K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 204 Physical Medicine and Rehabilitation providers in GA — top quintile (cohort median 1,712).
REFERRAL NETWORK

Where John Downey'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). 29 inbound referrers · 59 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
AU MEDICAL CENTER, INC105646
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
52121
AUGUSTA HOSPITAL LLC40107
Evans Imaging, Llc
Independent Diagnostic Testing Facility (IDTF) · Evans, GA
3267
Rodney Hobbs
Diagnostic Radiology · Evans, GA
3162
James Davis
Diagnostic Radiology · Evans, GA
3156
AIKEN REGIONAL MEDICAL CENTERS LLC2884
Gold Cross Ems, Inc.
Ambulance Service Provider · Martinez, GA
2661
Jose Bauza
Diagnostic Radiology · Augusta, GA
2540
BROOKS, WILLIAM2437
William Johnson
Diagnostic Radiology · Evans, GA
2238
Forrest Walker
Diagnostic Radiology · Augusta, GA
2034
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY HEALTH SERVICES,INC201645
ALERE TOXICOLOGY SERVICES, INC166631
AU MEDICAL CENTER, INC115752
DOCTORS HOSPITAL OF AUGUSTA LLC105303
NPI 1871665000101221
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
51110
AUGUSTA HOSPITAL LLC48136
Rodney Hobbs
Diagnostic Radiology · Evans, GA
4075
Gold Cross Ems, Inc.
Ambulance Service Provider · Martinez, GA
4080
Jose Bauza
Diagnostic Radiology · Augusta, GA
3870
Evans Imaging, Llc
Independent Diagnostic Testing Facility (IDTF) · Evans, GA
3664
American Health Imaging Of Georgia Llc
Independent Diagnostic Testing Facility (IDTF) · Augusta, GA
3258
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.