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PROVIDER PROFILE · NPI 1205903408

Clifford WheelessMD

Orthopedic SurgeryRaleigh, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
86.8
Quality
72.6
Cost
83.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.50%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14
Payment records
1
By payment type
Food and Beverage$14
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 347217
Home health agency
CCN 340030
Hospital
CCN 340069
Hospital
CCN 340114
Hospital
CCN 340127
Hospital
CCN 340132
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,620
Beneficiaries
—
Total drug cost
$23K
Distinct drugs
25
Brand share
13.1%
Top prescribed drugs
Gabapentin348 claims
Meloxicam281 claims
Raloxifene Hcl171 claims
Prednisone153 claims
Amoxicillin/Potassium Clav108 claims
REFERRAL NETWORK

Where Clifford Wheeless'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). 34 inbound referrers · 86 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DLP MARIA PARHAM MEDICAL CENTER LLC217987
Krysta Holterman
Physician Assistant · Raleigh, NC
190640
DUKE UNIVERSITY HEALTH SYSTEM INC88524
REX HOSPITAL INC.48165
GRANVILLE HEALTH SYSTEM37135
AMERIDRUG LABORATORIES INC34118
SOLSTAS LAB PARTNERS GROUP LLC3096
John Spargo
Diagnostic Radiology · Raleigh, NC
2562
TOTAL CARE HOME HEALTH OF LOUISBURG, LLC2359
Derek Watson
Physical Medicine and Rehabilitation · Raleigh, NC
2355
Munther Tabet
Neurology · Henderson, NC
2039
Duncan Rougier-Chapman
Diagnostic Radiology · Raleigh, NC
2034
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Adam Brewer
Physician Assistant · Raleigh, NC
199624
DLP MARIA PARHAM MEDICAL CENTER LLC187843
Krysta Holterman
Physician Assistant · Raleigh, NC
161522
LOUISBURG NOVANT LLC149508
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
88172
DUKE UNIVERSITY HEALTH SYSTEM, INC.81185
DUKE UNIVERSITY HEALTH SYSTEM INC76229
Michael Stephens
Nurse Practitioner · Raleigh, NC
63257
SUH, PAUL51131
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
50126
REX HOSPITAL INC.45159
VANCE FAMILY MEDICINE, PA45130
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
1,496
Unique beneficiaries
—
Total services
5,263
Distinct HCPCS
21
Medicare payment
$189K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 770 Orthopedic Surgery providers in NC — top quintile (cohort median 1,323).