PROVIDER PROFILE · NPI 1265467856

Madonna HallD.O.

Family PracticeLexington, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$419

Peer benchmark

Total Medicare services vs. 1,197 Family Practice providers in KY — bottom quintile (cohort median 655).

PRESCRIBING · PART D · 2024

Total Rx claims

326

Beneficiaries

—

Total drug cost

$4K

Distinct drugs

Brand share

4.9%

Top prescribed drugs

Losartan Potassium35 claims

Amlodipine Besylate34 claims

Sertraline Hcl26 claims

Rosuvastatin Calcium26 claims

Gabapentin24 claims

QUALITY · MIPS · 2024

Final MIPS score

94.3

Quality

87.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.81%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$18

Payment records

By payment type

Food and Beverage$18

REFERRAL NETWORK

Where Madonna Hall'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). 9 inbound referrers · 19 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
New Lexington Clinic, Psc Clinical Laboratory · Lexington, KY	157	463
SAINT JOSEPH HEALTH SYSTEM, INC	48	131
SAINT JOSEPH HEALTH SYSTEM, INC	29	42
Shailendra Chopra Diagnostic Radiology · Lexington, KY	28	46
Michelle Williams Physician Assistant · Lexington, KY	28	77
Allen Westerfield Diagnostic Radiology · Lexington, KY	27	54
Suresh Rekhraj Cardiology · Louisville, KY	21	68
Carina Butler Diagnostic Radiology · Lexington, KY	15	35
Matthew Zimmerman Cardiology · Lexington, KY	15	61

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
New Lexington Clinic, Psc Clinical Laboratory · Lexington, KY	82	260
SAINT JOSEPH HEALTH SYSTEM, INC	44	118
John West Diagnostic Radiology · Lexington, KY	34	58
Michelle Williams Physician Assistant · Lexington, KY	26	73
Allen Westerfield Diagnostic Radiology · Lexington, KY	25	44
SAINT JOSEPH HEALTH SYSTEM, INC	25	48
BAPTIST HEALTHCARE SYSTEM, INC	25	51
Timothy Averion-Mahloch Diagnostic Radiology · Lexington, KY	25	36
Chad Harston Diagnostic Radiology · Hammond, LA	21	33
Shailendra Chopra Diagnostic Radiology · Lexington, KY	20	47
Lexington Fayette Urban County Government Ambulance Service Provider · Lexington, KY	20	74
Carina Butler Diagnostic Radiology · Lexington, KY	16	42

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