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PROVIDER PROFILE · NPI 1245313840

Marc SheltonM.D.

CardiologyColumbia, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
80.2
Quality
58.2
Cost
75.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.22%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
82
Beneficiaries
—
Total drug cost
$7K
Distinct drugs
6
Brand share
13.4%
Top prescribed drugs
Metoprolol Succinate21 claims
Losartan Potassium14 claims
Metoprolol Tartrate13 claims
Bumetanide12 claims
Sacubitril/Valsartan11 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 260074
Hospital
CCN 260141
Hospital
REFERRAL NETWORK

Where Marc Shelton'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). 5 inbound referrers · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F55143
MEMORIAL MEDICAL CENTER2558
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
1624
Aman Khurana
Internal Medicine · Macomb, IL
1422
CITY OF CLINTON1439
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Donita Schrey
Nurse Practitioner · Springfield, IL
86135
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F2859
MEMORIAL MEDICAL CENTER2448
ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD1426
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
1426
CITY OF CLINTON1126
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
261
Unique beneficiaries
—
Total services
310
Distinct HCPCS
7
Medicare payment
$18K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 343 Cardiology providers in MO — bottom quintile (cohort median 2,194).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$157
Payment records
1
By payment type
Food and Beverage$157
Top paying entities
Food and Beverage$157