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PROVIDER PROFILE · NPI 1255312609

Kenneth SaumM.D.

PRACTICECENTRA HEALTH INC.See all providers at this practice →
Thoracic SurgeryLynchburg, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
83.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.76%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 497278
Home health agency
CCN 490021
Hospital
CCN 490088
Hospital
CCN 490090
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
11
Beneficiaries
—
Total drug cost
$15
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Metoprolol Tartrate11 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14K
Payment records
36
By payment type
Consulting Fee$11K
Travel and Lodging$2K
Food and Beverage$892
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
347
Unique beneficiaries
—
Total services
349
Distinct HCPCS
13
Medicare payment
$100K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 54 Thoracic Surgery providers in VA — top quintile (cohort median 268).
REFERRAL NETWORK

Where Kenneth Saum'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). 21 inbound referrers · 59 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Eric Kline
Diagnostic Radiology · Lynchburg, VA
70206
Michael Matteson
Physician Assistant · Carbondale, IL
68176
Sean Higginson
Diagnostic Radiology · Fishersville, VA
63168
Daniel Schepens
Diagnostic Radiology · Roanoke, VA
52122
TOMLIN, MATTHEW3982
NEWTON, RICHARD3678
Neal Young
Diagnostic Radiology · Warsaw, NY
3598
Carl Moore
Cardiology · Lynchburg, VA
24110
Edward Bonyak
Cardiology · Kilmarnock, VA
2289
James Warner
Cardiology · Lynchburg, VA
2062
Elmer San Pedro
Diagnostic Radiology · South Boston, VA
1871
Evan Ownby
Interventional Cardiology · Lynchburg, VA
1881
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CENTRA HEALTH INC2341,366
Pathology Consultants Of Central Va, Inc
Clinical Laboratory · Lynchburg, VA
101360
Robert Green
Diagnostic Radiology · Valdosta, GA
82402
Eric Kline
Diagnostic Radiology · Lynchburg, VA
81424
Sean Higginson
Diagnostic Radiology · Fishersville, VA
67193
ALFIERI, JOHN63215
Daniel Schepens
Diagnostic Radiology · Roanoke, VA
60192
Kevin Hicks
Diagnostic Radiology · Lynchburg, VA
58183
Michael Matteson
Physician Assistant · Carbondale, IL
5889
Timothy Hellewell
Diagnostic Radiology · Charlottesville, VA
57166
TOMLIN, MATTHEW44103
Parham Fox
Diagnostic Radiology · Lynchburg, VA
43113
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.