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PROVIDER PROFILE · NPI 1134158488

Douglas BirnsM.D.

PRACTICEKB MEDICAL, PLLCSee all providers at this practice →
UrologyNew York, NYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 330024
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,463
Unique beneficiaries
—
Total services
4,093
Distinct HCPCS
17
Medicare payment
$195K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 756 Urology providers in NY — above median (cohort median 1,574).
PRESCRIBING · PART D · 2024
Total Rx claims
2,638
Beneficiaries
—
Total drug cost
$132K
Distinct drugs
22
Brand share
18.0%
Top prescribed drugs
Tamsulosin Hcl1,294 claims
Finasteride386 claims
Alfuzosin Hcl192 claims
Mirabegron95 claims
Ciprofloxacin Hcl89 claims
REFERRAL NETWORK

Where Douglas Birns'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). 12 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ENZO CLINICAL LABS, INC.28110
MOUNT SINAI HOSPITAL2649
Lana Kleynerman
Pathology · Uniondale, NY
2544
Edward Ament
Anesthesiology · White Plains, NY
2049
Joseph Maklansky
Diagnostic Radiology · New York, NY
2048
Cblpath, Inc
Clinical Laboratory · Rye Brook, NY
1731
Alan Kestenbaum
Anesthesiology · Waterbury, CT
1649
LENOX HILL HOSPITAL1624
KLEIN, GEORGE1284
Jeffrey Graf
Internal Medicine · New York, NY
1222
HECHT, ALAN1232
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1115
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SHIEL HOLDINGS LLC172244
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
68220
MOUNT SINAI HOSPITAL34120
Cblpath, Inc
Clinical Laboratory · Rye Brook, NY
3242
Edward Ament
Anesthesiology · White Plains, NY
3265
Neogenomics Laboratories Inc
Clinical Laboratory · Ramsey, NJ
3137
ENZO CLINICAL LABS, INC.2868
Ciril Rizk
Pathology · New York, NY
2430
REFUAH HEALTH CENTER INC2190
MULTI MOBILE IMAGING, INC.2050
Dimitry Hikin
Diagnostic Radiology · Long Island City, NY
1943
LENOX HILL HOSPITAL1733
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.
QUALITY · MIPS · 2024
Final MIPS score
92.1
Quality
86.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.72%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$645
Payment records
18
By payment type
Food and Beverage$546
Education$99