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PROVIDER PROFILE · NPI 1144537945

Paul DowneyP.A.

PRACTICECOUNTY OF FLATHEADSee all providers at this practice →
Physician AssistantKalispell, MTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 270051
Hospital
CCN 271336
Hospital
CCN 271343
Hospital
REFERRAL NETWORK

Where Paul Downey'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 · 3 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
KALISPELL REGIONAL MEDICAL CENTER INC1765
HEALTHCENTER NORTHWEST LLC1233
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COUNTY OF FLATHEAD43132
KALISPELL REGIONAL MEDICAL CENTER INC26105
HEALTHCENTER NORTHWEST LLC1430
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
746
Unique beneficiaries
—
Total services
1,322
Distinct HCPCS
8
Medicare payment
$38K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 659 Physician Assistant providers in MT — top quintile (cohort median 375).
PRESCRIBING · PART D · 2024
Total Rx claims
474
Beneficiaries
—
Total drug cost
$49K
Distinct drugs
14
Brand share
25.1%
Top prescribed drugs
Solifenacin Succinate70 claims
Cephalexin56 claims
Ciprofloxacin Hcl56 claims
Mirabegron50 claims
Nitrofurantoin Monohyd/M-Cryst46 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$43
Payment records
1
By payment type
Food and Beverage$43