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PROVIDER PROFILE · NPI 1285605139

William HigginbothamMD

Orthopedic SurgerySouthfield, MII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
86.4
Quality
64.8
Cost
90.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.48%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
203
Beneficiaries
—
Total drug cost
$731
Distinct drugs
4
Brand share
23.2%
Top prescribed drugs
Amoxicillin133 claims
Oxycodone Hcl/Acetaminophen31 claims
Clindamycin Hcl23 claims
Hydrocodone/Acetaminophen16 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
386
Unique beneficiaries
—
Total services
844
Distinct HCPCS
10
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 680 Orthopedic Surgery providers in MI — above median (cohort median 907).
REFERRAL NETWORK

Where William Higginbotham'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). 14 inbound referrers · 36 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ASCENSION PROVIDENCE HOSPITAL2371,028
ASCENSION ST JOHN HOSPITAL69266
David Osher
Diagnostic Radiology · Garden City, MI
2263
INFINITY PRIMARY CARE LLC1834
ARNKOFF, BRETT1527
Denis Lincoln
Diagnostic Radiology · Garden City, MI
1531
James Selis
Diagnostic Radiology · Garden City, MI
1429
BRAUNSTEIN, ALAN1430
HENRY FORD HEALTH SYSTEM1335
William Sharp
Internal Medicine · Southfield, MI
13109
Sachit Malde
Diagnostic Radiology · Southfield, MI
1323
Mehran Salari
Diagnostic Radiology · Garden City, MI
1220
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ASCENSION PROVIDENCE HOSPITAL165519
ASCENSION ST JOHN HOSPITAL57226
SEWARD, STEPHEN49121
REGENTS OF THE UNIVERSITY OF MICHIGAN41105
Vhs University Laboratories Inc
Clinical Laboratory · Detroit, MI
3477
James Watson
Physical Therapist in Private Practice · Southfield, MI
31486
David Osher
Diagnostic Radiology · Garden City, MI
2689
BONO, SIMINA26369
WALE, DANIEL2688
WILLIAM BEAUMONT HOSPITAL2263
KLEIN, ROGER2059
Kelly Sakalian
Nurse Practitioner · Farmington Hills, MI
1963
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.