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PROVIDER PROFILE · NPI 1306171624

Julia GilbertCNP

Nurse PractitionerPortsmouth, OHI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 180009
Hospital
CCN 360361
Hospital
REFERRAL NETWORK

Where Julia Gilbert'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). 5 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PORTSMOUTH HOSPITAL CORPORATION3757
SOUTHERN OHIO MEDICAL CENTER2776
Kevin Wolfe
Nurse Practitioner · Portsmouth, OH
2539
Sriharsha Velury
Cardiology · Portsmouth, OH
2278
Mayola Boykin
Diagnostic Radiology · Ashland, KY
1418
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PORTSMOUTH HOSPITAL CORPORATION67129
ASHLAND HOSPITAL CORPORATION65156
SOUTHERN OHIO MEDICAL CENTER3687
Kevin Wolfe
Nurse Practitioner · Portsmouth, OH
2039
Sriharsha Velury
Cardiology · Portsmouth, OH
2090
Erik Fraley
Diagnostic Radiology · Ashland, KY
1923
Christopher Keeton
Nurse Practitioner · Portsmouth, OH
1349
George Esham
Internal Medicine · Portsmouth, OH
1224
Zane Darnell
Cardiology · Ashland, KY
1240
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
339
Unique beneficiaries
—
Total services
449
Distinct HCPCS
7
Medicare payment
$16K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 10,868 Nurse Practitioner providers in OH — top quintile (cohort median 219).
PRESCRIBING · PART D · 2024
Total Rx claims
11,964
Beneficiaries
—
Total drug cost
$855K
Distinct drugs
164
Brand share
27.0%
Top prescribed drugs
Hydrocodone/Acetaminophen505 claims
Atorvastatin Calcium420 claims
Gabapentin420 claims
Lisinopril343 claims
Levothyroxine Sodium334 claims
QUALITY · MIPS · 2024
Final MIPS score
89.2
Quality
77.4
Cost
77.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.60%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
94
By payment type
Food and Beverage$2K