PROVIDER PROFILE · NPI 1215965710

Craig MatherneMD

Family PracticeJohnson City, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,037

Unique beneficiaries

—

Total services

2,949

Distinct HCPCS

Medicare payment

$90K

Peer benchmark

Total Medicare services vs. 1,574 Family Practice providers in TN — top quintile (cohort median 965).

PRESCRIBING · PART D · 2024

Total Rx claims

10,424

Beneficiaries

—

Total drug cost

$544K

Distinct drugs

140

Brand share

14.6%

Top prescribed drugs

Atorvastatin Calcium740 claims

Levothyroxine Sodium425 claims

Lisinopril418 claims

Hydrochlorothiazide416 claims

Omeprazole354 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 447422

Home health agency

CCN 440063

Hospital

CCN 440184

Hospital

REFERRAL NETWORK

Where Craig Matherne'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). 30 inbound referrers · 54 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MOUNTAIN STATES HEALTH ALLIANCE	79	193
Washington County-Johnson City Emergency Medical Services Inc Ambulance Service Provider · Johnson City, TN	64	175
Perry Jernigan Diagnostic Radiology · Johnson City, TN	54	141
Lisa Lull Diagnostic Radiology · Alexandria, VA	43	91
SOLSTAS LAB PARTNERS GROUP LLC	32	163
Randy Hoover Internal Medicine · Johnson City, TN	27	74
Hadi El Bazouni Internal Medicine · Johnson City, TN	27	82
Glen Hatcher Diagnostic Radiology · Johnson City, TN	27	49
Avinash Reddy Diagnostic Radiology · Johnson City, TN	26	58
Jose Picaza Diagnostic Radiology · Johnson City, TN	25	61
Arthur Austin Diagnostic Radiology · Johnson City, TN	23	65
Vincent Becker Diagnostic Radiology · Johnson City, TN	23	54

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MOUNTAIN STATES HEALTH ALLIANCE	156	654
Washington County-Johnson City Emergency Medical Services Inc Ambulance Service Provider · Johnson City, TN	52	266
Ali Rafai Internal Medicine · Johnson City, TN	48	133
MOUNTAIN STATES HEALTH ALLIANCE	38	117
Lisa Lull Diagnostic Radiology · Alexandria, VA	28	76
Kevin Sweet Internal Medicine · Johnson City, TN	28	73
Perry Jernigan Diagnostic Radiology · Johnson City, TN	27	67
CHUNG, SUE	26	81
Carole White Nurse Practitioner · Johnson City, TN	26	74
Donald Reynolds Diagnostic Radiology · Greenville, SC	26	58
Glen Hatcher Diagnostic Radiology · Johnson City, TN	25	60
Thomas Wooldridge Diagnostic Radiology · Johnson City, TN	24	35

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