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PROVIDER PROFILE · NPI 1154331411

Kevin MaloneMD

PRACTICETHE FIFER CENTER FOR PLASTIC SURGERY LTDSee all providers at this practice →
General SurgeryEffingham, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 140032
Hospital
CCN 140189
Hospital
CCN 220063
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
559
Unique beneficiaries
—
Total services
612
Distinct HCPCS
10
Medicare payment
$54K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 756 General Surgery providers in IL — top quintile (cohort median 318).
PRESCRIBING · PART D · 2024
Total Rx claims
190
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
4
Brand share
13.7%
Top prescribed drugs
Omeprazole140 claims
Pantoprazole Sodium24 claims
Amoxicillin/Potassium Clav15 claims
Hydrocodone/Acetaminophen11 claims
QUALITY · MIPS · 2024
Final MIPS score
89.0
Quality
69.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.59%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$41
Payment records
1
By payment type
Food and Beverage$41
REFERRAL NETWORK

Where Kevin Malone'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). 21 inbound referrers · 50 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD1991,029
Michael Choi
Pathology · Decatur, IL
76200
NPI 138660494054317
Omer Aker
Diagnostic Radiology · Springfield, IL
51152
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER3757
Thomas Heischmidt
Internal Medicine · Effingham, IL
36157
John Opilka
Family Practice · Altamont, IL
34214
Bashar Alzahabi
Nephrology · Effingham, IL
32297
Sean Flynn
Family Practice · Effingham, IL
30130
Arvind Patel
Diagnostic Radiology · Grand Rapids, MI
2980
JONES, STEVEN2655
Narinder Arora
Internal Medicine · Effingham, IL
24164
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD1971,291
Effingham Surgical Partners Llc
Ambulatory Surgical Center · Effingham, IL
138379
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER100290
Maria Ellis
Certified Registered Nurse Anesthetist (CRNA) · Mattoon, IL
68180
SARAH BUSH LINCOLN HEALTH CENTER65193
NPI 138660494058324
Omer Aker
Diagnostic Radiology · Springfield, IL
48191
JONES, STEVEN45173
Benjamin Coleman
Pathology · Decatur, IL
45156
Michael Choi
Pathology · Decatur, IL
3866
Thomas Heischmidt
Internal Medicine · Effingham, IL
3598
FRIGY, ALAN3189
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.