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PROVIDER PROFILE · NPI 1235190364

Donald MiddletonMD

Orthopedic SurgeryGlendale, WII
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
404
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
9
Brand share
15.6%
Top prescribed drugs
Tramadol Hcl119 claims
Celecoxib78 claims
Oxycodone Hcl64 claims
Hydrocodone/Acetaminophen41 claims
Methylprednisolone36 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 527187
Home health agency
CCN 520051
Hospital
CCN 520194
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$519
Payment records
5
By payment type
Food and Beverage$519
REFERRAL NETWORK

Where Donald Middleton'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). 2 inbound referrers · 4 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Eric Dorn
Diagnostic Radiology · Mequon, WI
1646
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.1432
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.77364
ORTHOPAEDIC HOSPITAL OF WISCONSIN, LLC66321
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.1441
Eric Dorn
Diagnostic Radiology · Mequon, WI
1224
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.
QUALITY · MIPS · 2024
Final MIPS score
30.7
Quality
9.4
Cost
92.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.32%
Individual
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
687
Unique beneficiaries
—
Total services
1,474
Distinct HCPCS
13
Medicare payment
$86K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 453 Orthopedic Surgery providers in WI — top quintile (cohort median 729).