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PROVIDER PROFILE · NPI 1316027410

Heather ClawgesM.D.

PRACTICEGREENBRIER PHYSICIANS, INCSee all providers at this practice →
Pediatric MedicineRonceverte, WVI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$885
Payment records
14
By payment type
Consulting Fee$713
Food and Beverage$173
QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
79.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.86%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 510002
Hospital
CCN 511317
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
662
Beneficiaries
—
Total drug cost
$420K
Distinct drugs
20
Brand share
21.8%
Top prescribed drugs
Modafinil109 claims
Zolpidem Tartrate65 claims
Dextroamphetamine/Amphetamine52 claims
Clonazepam48 claims
Armodafinil39 claims
REFERRAL NETWORK

Where Heather Clawges'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). 19 inbound referrers · 25 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Erin Burns
Physician Assistant · Ronceverte, WV
93182
Heather Rose
Diagnostic Radiology · Ronceverte, WV
66152
Colin Rose
Diagnostic Radiology · Ronceverte, WV
51137
Laboratory Corporation Of America Holdings
Clinical Laboratory · Ronceverte, WV
35109
Debra Crites-Sams
Family Practice · Ronceverte, WV
24142
NPI 10735314552356
BLUEFIELD HOSPITAL COMPANY LLC2068
NPI 11341241001533
Christopher White
Otolaryngology · Lewisburg, WV
13150
Zainab Shamma
Pulmonary Disease · Lewisburg, WV
13103
Justin Douglas
Otolaryngology · Beckley, WV
1355
Constance Anderson
Family Practice · Ronceverte, WV
1361
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GREENBRIER VMC LLC136455
Erin Burns
Physician Assistant · Ronceverte, WV
102217
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
93272
Heather Rose
Diagnostic Radiology · Ronceverte, WV
52132
Laboratory Corporation Of America Holdings
Clinical Laboratory · Ronceverte, WV
41107
Colin Rose
Diagnostic Radiology · Ronceverte, WV
3973
NPI 10735314552344
Debra Crites-Sams
Family Practice · Ronceverte, WV
18101
BLUEFIELD HOSPITAL COMPANY LLC1837
OAK HILL HOSPITAL CORPORATION1741
Gary Roberts
Cardiology · Prestonsburg, KY
1654
Thomas Vondohlen
Internal Medicine · Caldwell, WV
1690
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
641
Unique beneficiaries
—
Total services
690
Distinct HCPCS
7
Medicare payment
$42K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 16 Pediatric Medicine providers in WV — top quintile (cohort median 40).