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PROVIDER PROFILE · NPI 1184616435

David HillsgroveMD

PRACTICEORTHOCAROLINA, PASee all providers at this practice →
Orthopedic SurgeryMooresville, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.0
Quality
81.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 347215
Home health agency
CCN 340129
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
597
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
9
Brand share
19.3%
Top prescribed drugs
Meloxicam222 claims
Methylprednisolone88 claims
Hydrocodone/Acetaminophen69 claims
Ibuprofen63 claims
Oxycodone Hcl55 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,554
Unique beneficiaries
—
Total services
3,259
Distinct HCPCS
20
Medicare payment
$96K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 770 Orthopedic Surgery providers in NC — top quintile (cohort median 1,323).
REFERRAL NETWORK

Where David Hillsgrove'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). 9 inbound referrers · 25 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC134499
Thomas Gross
Family Practice · Mooresville, NC
1994
TOOTHMAN, DONALD1849
SCOVILL, DAVID1758
John Black
Diagnostic Radiology · Charlotte, NC
1760
SOLSTAS LAB PARTNERS GROUP LLC1655
Adam Crilly
Emergency Medicine · Lenoir, NC
1562
Richard Arriviello
Emergency Medicine · Monroe, NC
1433
Kevin Carroll
Diagnostic Radiology · Charlotte, NC
1328
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC89208
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
45103
Laurie Beach
Anesthesiology · Mooresville, NC
2494
TOOTHMAN, DONALD2258
County Of Iredell
Ambulance Service Provider · Statesville, NC
2088
SOLSTAS LAB PARTNERS GROUP LLC1980
CENTERWELL CERTIFIED HEALTHCARE CORP.1859
CAROLINAS MEDICAL CENTER1740
Thomas Gross
Family Practice · Mooresville, NC
16115
Kevin Carroll
Diagnostic Radiology · Charlotte, NC
1631
Tushar Patel
Ophthalmology · Mooresville, NC
1634
Daniel Koehler
Cardiology · Lincolnton, NC
1537
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
$29
Payment records
1
By payment type
Food and Beverage$29