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PROVIDER PROFILE · NPI 1265433478

Gary UpchurchOD

OptometryAlbany, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
596
Beneficiaries
—
Total drug cost
$12K
Distinct drugs
7
Brand share
36.7%
Top prescribed drugs
Latanoprost307 claims
Dorzolamide Hcl/Timolol Maleat184 claims
Brimonidine Tartrate36 claims
Brimonidine Tartrate/Timolol20 claims
Timolol Maleate18 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
815
Unique beneficiaries
—
Total services
3,223
Distinct HCPCS
9
Medicare payment
$47K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 553 Optometry providers in KY — top quintile (cohort median 1,238).
REFERRAL NETWORK

Where Gary Upchurch'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). 8 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CLINTON COUNTY HOSPITAL, INC.73160
THEELE, MICHAEL3268
CUMBERLAND FAMILY MEDICAL CENTER, INC.2846
COOKEVILLE REGIONAL MEDICAL CENTER1720
William Powell
Family Practice · Albany, KY
1443
Scott Babin
Diagnostic Radiology · Louisville, KY
1319
James Tompkins
Family Practice · Byrdstown, TN
1328
LIVINGSTON REGIONAL HOSPITAL LLC1115
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CLINTON COUNTY HOSPITAL, INC.86218
MASON, LARRY49109
Mark Henry
Ophthalmology · Somerset, KY
45205
CUMMINGS, MICHAEL34149
Tracy Cross
General Surgery · Albany, KY
34173
CUMBERLAND FAMILY MEDICAL CENTER, INC.3459
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
2942
Carol Peddicord
Family Practice · Albany, KY
2889
THEELE, MICHAEL2734
Tammy Brown
Family Practice · Albany, KY
2693
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
1956
Sean Ladson
Diagnostic Radiology · Louisville, KY
1936
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.