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PROVIDER PROFILE · NPI 1225106933

Michael DonhamMD

PRACTICEDECATUR FAMILY MEDICINE PCSee all providers at this practice →
Family PracticeDecatur, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
36.5
Quality
26.7
Cost
86.3
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-4.61%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
6,949
Beneficiaries
—
Total drug cost
$351K
Distinct drugs
106
Brand share
20.3%
Top prescribed drugs
Amlodipine Besylate374 claims
Levothyroxine Sodium372 claims
Metoprolol Succinate362 claims
Valsartan311 claims
Rosuvastatin Calcium304 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,318
Unique beneficiaries
—
Total services
2,102
Distinct HCPCS
17
Medicare payment
$87K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,250 Family Practice providers in AL — above median (cohort median 957).
REFERRAL NETWORK

Where Michael Donham'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). 22 inbound referrers · 41 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
H H HEALTH SYSTEM-MORGAN LLC215735
Vernon Hurst
Diagnostic Radiology · Decatur, AL
70216
Stephen Harbin
Family Practice · Decatur, AL
56199
Malcolm Weathers
Diagnostic Radiology · Decatur, AL
3762
Ashish Basu
Cardiology · Decatur, AL
3295
Amit Vora
Internal Medicine · Hartselle, AL
3178
HEALTHCARE INVESTMENT GROUP INC.2483
Mamoun Najjar
Internal Medicine · Decatur, AL
2187
WALKER, ROBERT2158
James Boyle
Pulmonary Disease · Decatur, AL
1953
William Hughes
Urology · Decatur, AL
1954
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE1861
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
H H HEALTH SYSTEM-MORGAN LLC2541,409
Joel Yalowitz
Diagnostic Radiology · Charlotte, NC
103307
John Owens
Vascular Surgery · Huntsville, AL
100291
Vernon Hurst
Diagnostic Radiology · Decatur, AL
93290
Frank Scalfano
Diagnostic Radiology · Decatur, AL
93289
Stephen Harbin
Family Practice · Decatur, AL
68180
HEALTHCARE INVESTMENT GROUP INC.44115
Malcolm Weathers
Diagnostic Radiology · Decatur, AL
4288
Ashish Basu
Cardiology · Decatur, AL
40165
Punuru Reddy
Internal Medicine · Decatur, AL
34109
Amit Vora
Internal Medicine · Hartselle, AL
3078
Luis Villanueva
Cardiology · Decatur, AL
2790
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.