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

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