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PROVIDER PROFILE · NPI 1295844850

Keith HughesMD

PRACTICETAEHO IM MD INCSee all providers at this practice →
Emergency MedicineModesto, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
269
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
11
Brand share
27.5%
Top prescribed drugs
Cephalexin56 claims
Tramadol Hcl42 claims
Ondansetron38 claims
Ibuprofen24 claims
Hydrocodone/Acetaminophen21 claims
QUALITY · MIPS · 2024
Final MIPS score
96.7
Quality
90.0
Cost
78.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.91%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,067
Unique beneficiaries
—
Total services
1,142
Distinct HCPCS
7
Medicare payment
$95K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 5,287 Emergency Medicine providers in CA — top quintile (cohort median 355).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Keith Hughes'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). 54 inbound referrers · 141 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SUTTER GOULD MEDICAL FOUNDATION106508
David Li
Diagnostic Radiology · Modesto, CA
70124
DOCTORS MEDICAL CENTER OF MODESTO, INC.61318
Matthew Ward
Diagnostic Radiology · Modesto, CA
59118
Mirwais Amoni
Internal Medicine · Modesto, CA
55108
Matthew Thomson
Diagnostic Radiology · Modesto, CA
3878
Riggs Ambulance Service
Ambulance Service Provider · Merced, CA
3362
James Summers
Diagnostic Radiology · Modesto, CA
3366
Vaishali Ahire
Internal Medicine · Modesto, CA
2995
Ricardo Brizuela
Internal Medicine · Modesto, CA
2970
Ronak Shah
Nephrology · Modesto, CA
28131
Radha Chirumamilla
Internal Medicine · Modesto, CA
2798
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SUTTER CENTRAL VALLEY HOSPITALS7191,888
American Medical Response West
Ambulance Service Provider · Modesto, CA
264946
JABOLA, R243547
Protransport 1
Ambulance Service Provider · Rohnert Park, CA
132345
James Summers
Diagnostic Radiology · Modesto, CA
105236
SUTTER GOULD MEDICAL FOUNDATION100553
Unilab Corporation
Clinical Laboratory · Sacramento, CA
84262
David Li
Diagnostic Radiology · Modesto, CA
63123
Cesar Tumakay
Diagnostic Radiology · Modesto, CA
63100
Yee-Hsiang Wang
Diagnostic Radiology · Modesto, CA
59124
DOCTORS MEDICAL CENTER OF MODESTO, INC.46251
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE4660
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.