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PROVIDER PROFILE · NPI 1306811443

Claude WoollenMD

General SurgerySpartanburg, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.7
Quality
89.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 427024
Home health agency
CCN 420007
Hospital
CCN 420103
Hospital
CCN 420108
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
159
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
7
Brand share
49.1%
Top prescribed drugs
Hydrocodone/Acetaminophen40 claims
Omeprazole39 claims
Levothyroxine Sodium26 claims
Tamoxifen Citrate16 claims
Ondansetron14 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$147
Payment records
7
By payment type
Food and Beverage$147
REFERRAL NETWORK

Where Claude Woollen'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). 13 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Michael Enright
Diagnostic Radiology · Spartanburg, SC
2769
PARNES, NEIL2548
KAVANAGH, JOSEPH2148
Kelan Brown
Diagnostic Radiology · Spartanburg, SC
2047
KURKJIAN, JOSEPH2040
Rosanna Lapham
Pathology · Spartanburg, SC
1842
Joan Burkhardt
Diagnostic Radiology · Spartanburg, SC
1528
John Caldwell
Pathology · Spartanburg, SC
1523
Hugh James
General Practice · Spartanburg, SC
1431
WARREN, LAWRENCE1329
RYAN, FORREST1226
Richard Reinhardt
Surgical Oncology · Spartanburg, SC
1123
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SPARTANBURG MEDICAL CENTER209804
Ambulatory Surgery Center Of Spartanburg, Llc
Ambulatory Surgical Center · Spartanburg, SC
67138
Michael Enright
Diagnostic Radiology · Spartanburg, SC
2669
PARNES, NEIL2464
NEWMAN, JEFFERY2249
KURKJIAN, JOSEPH2145
John Wren
Pathology · Spartanburg, SC
2048
Alfred Campbell
Pathology · Spartanburg, SC
1950
Joan Burkhardt
Diagnostic Radiology · Spartanburg, SC
1736
William Joyce
Diagnostic Radiology · Spartanburg, SC
1744
MARY BLACK HEALTH SYSTEM LLC1743
Aaron Bohn
Anesthesiology · Seneca, SC
1629
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
288
Unique beneficiaries
—
Total services
317
Distinct HCPCS
8
Medicare payment
$35K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 333 General Surgery providers in SC — above median (cohort median 397).