What is Mark Higgins's specialty?

Mark Higgins (NPI 1134193469) is a Medicare-billing provider whose primary specialty is Internal Medicine in San Francisco, CA.

Where does Mark Higgins practice?

Mark Higgins practices in San Francisco, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1134193469.

How much does Medicare pay Mark Higgins?

Mark Higgins (NPI 1134193469) received approximately $82K in total Medicare Part B payments, serving 254 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1134193469

Mark HigginsMD

Internal MedicineSan Francisco, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

500

Unique beneficiaries

—

Total services

713

Distinct HCPCS

Medicare payment

$73K

Peer benchmark

Total Medicare services vs. 10,499 Internal Medicine providers in CA — above median (cohort median 531).

PRESCRIBING · PART D · 2024

Total Rx claims

12,134

Beneficiaries

—

Total drug cost

$9.6M

Distinct drugs

187

Brand share

40.9%

Top prescribed drugs

Atorvastatin Calcium532 claims

Bictegrav/Emtricit/Tenofov Ala409 claims

Acyclovir270 claims

Emtricitabine/Tenofov Alafenam254 claims

Dolutegravir Sodium251 claims

QUALITY · MIPS · 2024

Final MIPS score

84.3

Quality

71.8

Cost

75.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.39%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$6K

Payment records

257

By payment type

Food and Beverage$6K

Top paying entities

Food and Beverage$6K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Home health agency

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Mark Higgins'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 · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Thomas Kaiser Cardiology · San Francisco, CA	15	47
Virginia Cafaro Internal Medicine · San Francisco, CA	15	57

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SUTTER BAY HOSPITALS	70	329
SUTTER BAY HOSPITALS	28	80
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	21	56
Quest Diagnostics Nichols Institute Clinical Laboratory · San Juan Capistrano, CA	21	45
Virginia Cafaro Internal Medicine · San Francisco, CA	18	46
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	12	49
Samuel Ellison Dermatology · San Francisco, CA	11	32

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events