What is Sandra Gilley's specialty?

Sandra Gilley (NPI 1235342718) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Birmingham, AL.

Where does Sandra Gilley practice?

Sandra Gilley practices in Birmingham, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1235342718.

How much does Medicare pay Sandra Gilley?

Sandra Gilley (NPI 1235342718) received approximately $98K in total Medicare Part B payments, serving 75 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1235342718

Sandra GilleyM.D.

PRACTICEPULMONARY ASSOCIATES OF THE SOUTHEAST PCSee all providers at this practice →

Pulmonary DiseaseBirmingham, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

169

Unique beneficiaries

—

Total services

1,195

Distinct HCPCS

Medicare payment

$94K

Peer benchmark

Total Medicare services vs. 167 Pulmonary Disease providers in AL — above median (cohort median 943).

PRESCRIBING · PART D · 2024

Total Rx claims

398

Beneficiaries

—

Total drug cost

$211K

Distinct drugs

Brand share

76.9%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter102 claims

Albuterol Sulfate79 claims

Montelukast Sodium44 claims

Fluticasone/Vilanterol24 claims

Budesonide/Glycopyr/Formoterol23 claims

QUALITY · MIPS · 2024

Final MIPS score

90.9

Quality

83.3

Cost

76.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.67%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$51

Payment records

By payment type

Food and Beverage$51

Top paying entities

Food and Beverage$51

REFERRAL NETWORK

Where Sandra Gilley'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). 53 inbound referrers · 103 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
AFFINITY HOSPITAL LLC	283	1,379
Karl Schroeder Pulmonary Disease · Birmingham, AL	145	1,757
NPI 1457356628	135	1,167
Joel Mixon Diagnostic Radiology · Birmingham, AL	135	1,102
Colin Stewart Diagnostic Radiology · Birmingham, AL	133	951
ST VINCENTS BLOUNT	130	714
Arthur Jones Diagnostic Radiology · Birmingham, AL	115	923
CHANDLER, JERRY	93	658
SELECT SPECIALTY HOSPITALS INC	76	355
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	72	229
UNIVERSITY OF ALABAMA AT BIRMINGHAM	46	249
Brent Miller Internal Medicine · Birmingham, AL	44	250

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Todd Brightbill Diagnostic Radiology · Birmingham, AL	161	1,053
AFFINITY HOSPITAL LLC	142	617
Karl Schroeder Pulmonary Disease · Birmingham, AL	140	1,570
Russell Beaty Pulmonary Disease · Birmingham, AL	138	1,141
NPI 1457356628	129	786
Alan Thomas Internal Medicine · Birmingham, AL	121	769
Arthur Jones Diagnostic Radiology · Birmingham, AL	102	696
Bibb Allen Diagnostic Radiology · Birmingham, AL	97	509
Colin Stewart Diagnostic Radiology · Birmingham, AL	93	624
Joel Mixon Diagnostic Radiology · Birmingham, AL	90	622
CHANDLER, JERRY	89	521
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	73	220

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events