PROVIDER PROFILE · NPI 1215137500

Julia CaldwellMD

Pain ManagementBowling Green, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,781

Unique beneficiaries

—

Total services

11,704

Distinct HCPCS

Medicare payment

$378K

Peer benchmark

Total Medicare services vs. 49 Pain Management providers in KY — top quintile (cohort median 3,510).

PRESCRIBING · PART D · 2024

Total Rx claims

23,318

Beneficiaries

—

Total drug cost

$1.1M

Distinct drugs

Brand share

43.5%

Top prescribed drugs

Hydrocodone/Acetaminophen6,036 claims

Gabapentin4,422 claims

Oxycodone Hcl/Acetaminophen2,967 claims

Tizanidine Hcl1,159 claims

Pregabalin986 claims

QUALITY · MIPS · 2024

Final MIPS score

92.9

Quality

85.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.75%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$521

Payment records

By payment type

Food and Beverage$521

REFERRAL NETWORK

Where Julia Caldwell'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). 1 inbound referrers · 3 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UPMC PINNACLE HOSPITALS	12	34

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
THE MILTON S HERSHEY MEDICAL CENTER	128	827
James Birkholz Diagnostic Radiology · Hershey, PA	11	20
Donald Flemming Diagnostic Radiology · Hershey, PA	11	17

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