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PROVIDER PROFILE · NPI 1265694491

Kelly CulbertsonM.D.

Family PracticeRome, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
98.9
Quality
13.9
Cost
79.5
Improvement activities
40.0
Promoting interop.
97.0
Payment adjustment
1.01%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 110054
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
895
Beneficiaries
—
Total drug cost
$17K
Distinct drugs
36
Brand share
13.1%
Top prescribed drugs
Amlodipine Besylate83 claims
Atorvastatin Calcium69 claims
Hydrochlorothiazide50 claims
Lisinopril46 claims
Omeprazole45 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
112
Unique beneficiaries
—
Total services
162
Distinct HCPCS
6
Medicare payment
$11K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,265 Family Practice providers in GA — bottom quintile (cohort median 688).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Kelly Culbertson'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). 23 inbound referrers · 40 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FLOYD HEALTHCARE MANAGEMENT INC2742,322
John Desmond
Family Practice · Rome, GA
59324
Mark Jester
Internal Medicine · Rome, GA
39587
James Ware
Cardiology · Rome, GA
37193
Floyd Healthcare Management Inc
Ambulance Service Provider · Rome, GA
37141
James Moseley
Diagnostic Radiology · Rome, GA
28114
Michael Kizziah
Diagnostic Radiology · Rome, GA
24103
Jarrod Wiegman
Internal Medicine · Fort Wayne, IN
23111
REDMOND PARK HOSPITAL, LLC22105
John Hardwell
Internal Medicine · Rome, GA
2255
Rahul Garg
Cardiology · Rome, GA
22145
PRUETT, STEVEN2259
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FLOYD HEALTHCARE MANAGEMENT INC1701,155
Jose Villalon-Gomez
Family Practice · Atlanta, GA
47211
John Desmond
Family Practice · Rome, GA
46205
John-Mark Miller
Family Practice · Clinton, NC
44292
Kerwyn Flowers
Family Practice · Tallahassee, FL
38254
Denise Davis
Family Practice · Las Vegas, NV
35134
Mark Jester
Internal Medicine · Rome, GA
34313
Floyd Healthcare Management Inc
Ambulance Service Provider · Rome, GA
32137
James Ware
Cardiology · Rome, GA
2995
Frank Stegall
Internal Medicine · Rome, GA
29111
Matthew Mcclain
Diagnostic Radiology · Rome, GA
2873
James Moseley
Diagnostic Radiology · Rome, GA
2690
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.