PROVIDER PROFILE · NPI 1255327490

Michael CluneM.D.

OphthalmologySt Clair Shores, MII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,796

Unique beneficiaries

—

Total services

4,175

Distinct HCPCS

Medicare payment

$296K

Peer benchmark

Total Medicare services vs. 608 Ophthalmology providers in MI — top quintile (cohort median 1,582).

PRESCRIBING · PART D · 2024

Total Rx claims

1,759

Beneficiaries

—

Total drug cost

$205K

Distinct drugs

Brand share

36.9%

Top prescribed drugs

Latanoprost534 claims

Dorzolamide Hcl/Timolol Maleat211 claims

Brimonidine Tartrate204 claims

Timolol Maleate129 claims

Erythromycin Base115 claims

QUALITY · MIPS · 2024

Final MIPS score

93.3

Quality

89.5

Cost

72.5

Improvement activities

40.0

Promoting interop.

97.0

Payment adjustment

0.77%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$388

Payment records

By payment type

Food and Beverage$388

REFERRAL NETWORK

Where Michael Clune'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). 17 inbound referrers · 32 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ASCENSION ST JOHN HOSPITAL	303	578
ASCENSION ST JOHN HOSPITAL	124	180
ASCENSION MACOMB OAKLAND HOSPITAL	50	73
St Clair Shores Mi Ophthalmology Asc Llc Ambulatory Surgical Center · Saint Clair Shores, MI	47	99
HENRY FORD MACOMB HOSPITAL CORPORATION	39	71
MCLAREN MACOMB	34	63
HENRY FORD HEALTH SYSTEM	26	39
WILLIAM BEAUMONT HOSPITAL	24	36
John Carey Pathology · Detroit, MI	22	31
CENTER FOR PREVENTIVE MEDICINE PC	20	28
Biotech Clinical Laboratories Inc Clinical Laboratory · Novi, MI	19	28
CALDERONE, DAVID	18	35

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ASCENSION ST JOHN HOSPITAL	300	528
REGENTS OF THE UNIVERSITY OF MICHIGAN	296	426
ASCENSION ST JOHN HOSPITAL	128	187
St Clair Shores Mi Ophthalmology Asc Llc Ambulatory Surgical Center · Saint Clair Shores, MI	96	301
WILLIAM BEAUMONT HOSPITAL	82	175
ASCENSION ST JOHN HOSPITAL	74	100
ASCENSION MACOMB OAKLAND HOSPITAL	43	68
Julian Alvarez Anesthesiology · Grosse Pointe, MI	39	129
MCLAREN MACOMB	34	62
HENRY FORD MACOMB HOSPITAL CORPORATION	30	66
WAYPOINTE INTERNAL MEDICINE, P.C.	30	44
WILLIAM BEAUMONT HOSPITAL	30	45

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