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PROVIDER PROFILE · NPI 1134800964

Donavon BaldridgeAPRN

Nurse PractitionerTahlequah, OKI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.4
Quality
72.8
Cost
76.8
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.44%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 370089
Hospital
CCN 370166
Hospital
CCN 370171
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
158
Beneficiaries
—
Total drug cost
$11K
Distinct drugs
4
Brand share
77.8%
Top prescribed drugs
Peg3350/Sod Sulf,bicarb,cl/Kcl53 claims
Sod Picosulf/Mag Ox/Citric Ac50 claims
Famotidine24 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl20 claims
Omeprazole11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
195
Unique beneficiaries
—
Total services
252
Distinct HCPCS
4
Medicare payment
$13K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,375 Nurse Practitioner providers in OK — below median (cohort median 395).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$41
Payment records
2
By payment type
Food and Beverage$41
Top paying entities
Food and Beverage$41