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PROVIDER PROFILE · NPI 1265402762

John SuttonMD

PRACTICEPROVIDENCE PHYSICIAN PRACTICES LLCSee all providers at this practice →
Cardiac SurgeryColumbia, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
80.4
Quality
64.9
Cost
72.7
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.23%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
153
Beneficiaries
—
Total drug cost
$8K
Distinct drugs
8
Brand share
15.7%
Top prescribed drugs
Tramadol Hcl38 claims
Atorvastatin Calcium31 claims
Amiodarone Hcl17 claims
Metoprolol Tartrate17 claims
Spironolactone15 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 420026
Hospital
CCN 420091
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
272
Unique beneficiaries
—
Total services
276
Distinct HCPCS
9
Medicare payment
$80K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 15 Cardiac Surgery providers in SC — above median (cohort median 436).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
30
By payment type
Travel and Lodging$828
Food and Beverage$645
REFERRAL NETWORK

Where John Sutton'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). 32 inbound referrers · 62 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PROVIDENCE HOSPITAL, LLC373926
Robert Zurcher
Cardiac Surgery · Columbia, SC
128240
Andrew Weisinger
Anesthesiology · West Columbia, SC
88292
Judith Hoffman
Anesthesiology · Columbia, SC
68187
Harry Hardin
Diagnostic Radiology · Greenville, SC
65136
Virginia Kearse
Certified Registered Nurse Anesthetist (CRNA) · Columbia, SC
4799
J Phillips
Cardiology · Columbia, SC
41198
NEUFFER, FRANCIS3575
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC3059
Kerin Harris
Certified Registered Nurse Anesthetist (CRNA) · Columbia, SC
2748
KERSHAW HOSPITAL LLC2553
Daniel Bouknight
Cardiology · Irmo, SC
2376
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Henry Black
Diagnostic Radiology · Greenville, SC
161592
Robert Zurcher
Cardiac Surgery · Columbia, SC
108193
PROVIDENCE HOSPITAL, LLC104243
William Yarbrough
Cardiac Surgery · West Columbia, SC
91189
LEPPARD, EDWARD82155
Douglas Mitchell Mcconnell
Diagnostic Radiology · Columbia, SC
73157
John Garrick
Diagnostic Radiology · Greenville, SC
55137
Harry Hardin
Diagnostic Radiology · Greenville, SC
53131
Andrew Weisinger
Anesthesiology · West Columbia, SC
53151
Judith Hoffman
Anesthesiology · Columbia, SC
52117
NEUFFER, FRANCIS52122
Susan Beriault-Williams
Certified Registered Nurse Anesthetist (CRNA) · Columbia, SC
47124
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.