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PROVIDER PROFILE · NPI 1164408472

David RalstonMD

Pulmonary DiseaseGrove City, OHI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 360012
Hospital
CCN 360035
Hospital
CCN 360348
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
437
Unique beneficiaries
—
Total services
571
Distinct HCPCS
12
Medicare payment
$54K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 460 Pulmonary Disease providers in OH — below median (cohort median 651).
PRESCRIBING · PART D · 2024
Total Rx claims
1,615
Beneficiaries
—
Total drug cost
$1.0M
Distinct drugs
30
Brand share
51.6%
Top prescribed drugs
Prednisone285 claims
Albuterol Sulfate252 claims
Fluticasone/Umeclidin/Vilanter111 claims
Azithromycin82 claims
Budesonide/Glycopyr/Formoterol71 claims
QUALITY · MIPS · 2024
Final MIPS score
79.4
Quality
75.6
Cost
73.4
Improvement activities
40.0
Promoting interop.
79.0
Payment adjustment
0.19%
Group
REFERRAL NETWORK

Where David Ralston'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). 53 inbound referrers · 118 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MOUNT CARMEL HEALTH SYSTEM78247
Joseph Duffy
Pulmonary Disease · Columbus, OH
781,004
FAGAN, JAMES74816
FILIATRAUT, ARTHUR69296
Gina Moody
Pulmonary Disease · Columbus, OH
65442
PROBST, STEPHEN55217
Gerald Smidebush
Diagnostic Radiology · Columbus, OH
52214
SUBISAK, DANIEL47189
LIN, LIEN43144
Amit Majmudar
Diagnostic Radiology · Cleveland, OH
42101
MILLS, CRAIG42142
Frances Hackett
Clinical Cardiac Electrophysiology · Columbus, OH
40102
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MOUNT CARMEL HEALTH SYSTEM148380
PATIENT TRANSPORT SERVICES OF COLUMBUS LLC77219
MOUNT CARMEL HEALTH SYSTEM74210
Joseph Duffy
Pulmonary Disease · Columbus, OH
63655
FILIATRAUT, ARTHUR57241
Gerald Smidebush
Diagnostic Radiology · Columbus, OH
53169
Mary Oehler
Diagnostic Radiology · Columbus, OH
50112
Gina Moody
Pulmonary Disease · Columbus, OH
49317
Frances Hackett
Clinical Cardiac Electrophysiology · Columbus, OH
48149
NPI 15482113114571
FAGAN, JAMES43411
Vincent Perez
Diagnostic Radiology · Toledo, OH
42136
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$5K
Payment records
38
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$4K
Food and Beverage$804
Consulting Fee$150