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PROVIDER PROFILE · NPI 1144380478

Randall HimesO.D.

OptometryPresque Isle, MEI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 200018
Hospital
CCN 200031
Hospital
REFERRAL NETWORK

Where Randall Himes'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 · 24 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
AROOSTOOK MEDICAL CENTER2911,835
Mark Morin
Ophthalmology · Presque Isle, ME
81366
Richard Tateishi
Certified Registered Nurse Anesthetist (CRNA) · Presque Isle, ME
1924
GERSHMAN-TEWKSBURY, JOHN1635
PORTER, STEPHEN1598
Mark Billington
General Surgery · Presque Isle, ME
14127
Robert Mackinnon
Certified Registered Nurse Anesthetist (CRNA) · Presque Isle, ME
1419
Neeti Pokharel
Internal Medicine · Presque Isle, ME
1398
David Cowley
Certified Registered Nurse Anesthetist (CRNA) · Presque Isle, ME
1321
NPI 12857309941217
Puja Shrestha
Internal Medicine · Los Alamitos, CA
1256
MONTEE, GEORGE1140
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
AROOSTOOK MEDICAL CENTER3702,600
EASTERN MAINE MEDICAL CENTER180476
Joseph Field
Diagnostic Radiology · Presque Isle, ME
4499
Mark Morin
Ophthalmology · Presque Isle, ME
40168
CITY OF CARIBOU2483
Alan Mautz
Diagnostic Radiology · Milwaukee, WI
2457
PORTER, SUE1992
Puja Shrestha
Internal Medicine · Los Alamitos, CA
1672
Thomas Macharia
Infectious Disease · Presque Isle, ME
16139
PORTER, STEPHEN1547
Venkatram Nethala
Cardiology · Savannah, TN
1564
AFFILIATED LABORATORY, INC.1430
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
670
Unique beneficiaries
—
Total services
716
Distinct HCPCS
8
Medicare payment
$24K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 198 Optometry providers in ME — below median (cohort median 859).
PRESCRIBING · PART D · 2024
Total Rx claims
268
Beneficiaries
—
Total drug cost
$65K
Distinct drugs
7
Brand share
35.4%
Top prescribed drugs
Latanoprost91 claims
Bimatoprost37 claims
Cyclosporine33 claims
Timolol Maleate30 claims
Dorzolamide Hcl/Timolol Maleat25 claims
QUALITY · MIPS · 2024
Final MIPS score
88.3
Quality
71.6
Cost
76.2
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.56%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.