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PROVIDER PROFILE · NPI 1215907126

Michael BaylorMD

Emergency MedicineCharlottesville, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 490004
Hospital
CCN 490077
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,103
Unique beneficiaries
—
Total services
1,139
Distinct HCPCS
5
Medicare payment
$104K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,151 Emergency Medicine providers in VA — top quintile (cohort median 382).
QUALITY · MIPS · 2024
Final MIPS score
84.2
Quality
75.4
Cost
88.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.39%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
420
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
14
Brand share
42.9%
Top prescribed drugs
Prednisone76 claims
Hydrocodone/Acetaminophen50 claims
Ondansetron50 claims
Naproxen36 claims
Oxycodone Hcl/Acetaminophen30 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Michael Baylor'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). 18 inbound referrers · 82 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL212668
County Of Albemarle
Ambulance Service Provider · Charlottesville, VA
101210
Jay Fertile
Diagnostic Radiology · Charlottesville, VA
74144
Sorin Laza
Hospitalist · Charlottesville, VA
3059
NPI 11543936762839
HUTCHESON, GRACE2235
Duong Nguyen
Cardiology · Christiansburg, VA
2034
Christopher Cook
Diagnostic Radiology · Charlottesville, VA
2035
Kevin Mcconnell
Nephrology · Charlottesville, VA
1765
Clara Eden
Hospitalist · Charlottesville, VA
1722
Daniel Ricciardi
Emergency Medicine · Charlottesville, VA
1535
Duncan Hill
Hospitalist · Charlottesville, VA
1523
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL5881,705
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA114423
Jonathan Ciambotti
Diagnostic Radiology · Charlottesville, VA
105184
Christopher Cook
Diagnostic Radiology · Charlottesville, VA
103185
V. Peyton
Diagnostic Radiology · Charlottesville, VA
103175
Jack Higginbotham
Diagnostic Radiology · Charlottesville, VA
101198
NPI 1750384954100158
Sean Lyman
Diagnostic Radiology · Charlottesville, VA
97179
Pradeep Rajagopalan
Diagnostic Radiology · Charlottesville, VA
81141
Clinton Pease
Diagnostic Radiology · Charlottesville, VA
79138
Anthony Spinelli
Diagnostic Radiology · Charlottesville, VA
78129
Jay Fertile
Diagnostic Radiology · Charlottesville, VA
5075
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.