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PROVIDER PROFILE · NPI 1215198411

Lori Nelson-MadisonM. D.

PRACTICECENTRA HEALTH PROFESSIONAL SERVICES, LLCSee all providers at this practice →
Family PracticeLynchburg, VAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 490021
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
227
Unique beneficiaries
—
Total services
393
Distinct HCPCS
8
Medicare payment
$17K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,194 Family Practice providers in VA — below median (cohort median 866).
REFERRAL NETWORK

Where Lori Nelson-Madison'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). 14 inbound referrers · 37 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Velyn Wu
Family Practice · Gainesville, FL
3884
STOWERS, RICHARD3482
William Crow
Family Practice · Lynchburg, VA
3260
City Of Lynchburg
Ambulance Service Provider · Lynchburg, VA
3285
Sean Higginson
Diagnostic Radiology · Fishersville, VA
2850
Ann Thomas
Family Practice · Lynchburg, VA
2652
David Gregory
Family Practice · Roanoke, VA
2153
TOMLIN, MATTHEW1933
Daniel Schepens
Diagnostic Radiology · Roanoke, VA
1733
GIANAKOS, DEAN1731
NEWTON, RICHARD1740
Neal Young
Diagnostic Radiology · Warsaw, NY
1646
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CENTRA HEALTH INC2361,100
STOWERS, RICHARD60141
Velyn Wu
Family Practice · Gainesville, FL
4791
Pathology Consultants Of Central Va, Inc
Clinical Laboratory · Lynchburg, VA
45101
WORTLEY, GEORGE39127
Suzanne Krzyzanowski
Family Practice · Lynchburg, VA
3559
Sean Higginson
Diagnostic Radiology · Fishersville, VA
3268
David Gregory
Family Practice · Roanoke, VA
2774
William Crow
Family Practice · Lynchburg, VA
2654
GIANAKOS, DEAN2547
Ann Thomas
Family Practice · Lynchburg, VA
2544
City Of Lynchburg
Ambulance Service Provider · Lynchburg, VA
2458
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,471
Beneficiaries
—
Total drug cost
$87K
Distinct drugs
58
Brand share
12.1%
Top prescribed drugs
Atorvastatin Calcium140 claims
Amlodipine Besylate90 claims
Losartan Potassium57 claims
Montelukast Sodium54 claims
Albuterol Sulfate46 claims
QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
83.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.