PROVIDER PROFILE · NPI 1215048442

Douglas MattoxM.D.

OtolaryngologyAtlanta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

369

Unique beneficiaries

—

Total services

401

Distinct HCPCS

Medicare payment

$24K

Peer benchmark

Total Medicare services vs. 300 Otolaryngology providers in GA — below median (cohort median 955).

PRESCRIBING · PART D · 2024

Total Rx claims

164

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

42.7%

Top prescribed drugs

Diazepam40 claims

Ciprofloxacin Hcl/Dexameth31 claims

Hydrocodone/Acetaminophen23 claims

Ofloxacin21 claims

Prednisone19 claims

QUALITY · MIPS · 2024

Final MIPS score

93.2

Quality

73.7

Cost

75.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.77%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110010

Hospital

CCN 110078

Hospital

CCN 110226

Hospital

REFERRAL NETWORK

Where Douglas Mattox'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). 5 inbound referrers · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CRAWFORD LONG HOSPITAL	47	102
Debra Brewer Audiologist · Atlanta, GA	37	45
John Roback Pathology · Atlanta, GA	17	31
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	15	19
Jenna Ralph Audiologist · Miami, FL	11	12

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Lindsay Katz Audiologist · Stockbridge, GA	53	61
EMORY UNIVERSITY	32	50
John Roback Pathology · Atlanta, GA	21	33
CRAWFORD LONG HOSPITAL	20	29
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tucker, GA	14	20
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	12	21
GRADY MEMORIAL HOSPITAL CORPORATION	11	38

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history