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PROVIDER PROFILE · NPI 1295854149

Miriam GrahamRN-PC

Certified Clinical Nurse SpecialistWestfield, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
27.7
Quality
0.0
Cost
92.3
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.68%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
13,162
Beneficiaries
—
Total drug cost
$483K
Distinct drugs
59
Brand share
11.4%
Top prescribed drugs
Risperidone1,147 claims
Lorazepam976 claims
Sertraline Hcl917 claims
Trazodone Hcl914 claims
Quetiapine Fumarate843 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
407
Unique beneficiaries
—
Total services
1,298
Distinct HCPCS
2
Medicare payment
$88K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 150 Certified Clinical Nurse Specialist providers in MA — top quintile (cohort median 351).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Miriam Graham'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). 6 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BAYSTATE MEDICAL CENTER INC65133
SALEM, GEORGE2135
THE MERCY HOSPITAL INC1831
John Thayer
Ophthalmology · Westfield, MA
1416
GOODWIN, MYRA1241
Lance Reynolds
Internal Medicine · Westfield, MA
1217
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BAYSTATE MEDICAL CENTER INC77138
BAYSTATE MEDICAL CENTER INC74163
BAYSTATE NOBLE HOSPITAL CORPORATION71172
System Coordinated Services, Inc
Clinical Laboratory · Springfield, MA
4070
SALEM, GEORGE2025
THE MERCY HOSPITAL INC1928
MURPHY, JOANNE1779
Marc Fisher
Podiatry · Westfield, MA
1624
Lance Reynolds
Internal Medicine · Westfield, MA
1319
KING, ARTHUR1137
David Peterson
Internal Medicine · Westfield, MA
1123
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.