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PROVIDER PROFILE · NPI 1316127020

Michelle JonesM.D.

Infectious DiseaseAtlanta, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
271
Unique beneficiaries
—
Total services
436
Distinct HCPCS
7
Medicare payment
$37K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 177 Infectious Disease providers in GA — top quintile (cohort median 600).
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 110083
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
397
Beneficiaries
—
Total drug cost
$879K
Distinct drugs
16
Brand share
73.3%
Top prescribed drugs
Bictegrav/Emtricit/Tenofov Ala119 claims
Ceftriaxone Sodium40 claims
Daptomycin30 claims
Dolutegravir Sodium28 claims
Doravirine25 claims
QUALITY · MIPS · 2024
Final MIPS score
91.6
Quality
83.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.70%
APM Entity
REFERRAL NETWORK

Where Michelle Jones'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). 20 inbound referrers · 27 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Richard Prokesch
Infectious Disease · Riverdale, GA
84407
PIEDMONT HENRY HOSPITAL, INC.59173
Timothy Ramsey
Diagnostic Radiology · Birmingham, AL
2576
Balu Mani
Diagnostic Radiology · Riverdale, GA
23102
Clayton County Board Of Commissioners
Ambulance Service Provider · Jonesboro, GA
2269
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
1963
Richard Felker
Diagnostic Radiology · Hudson, OH
1846
SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE, INC.1728
Rita Claxton
Internal Medicine · Chattanooga, TN
1634
Carlette Graham
Pulmonary Disease · Stocbridge, GA
1447
Tewabe Kebede
Nephrology · Kansas City, MO
1335
Praveen Rastogi
Critical Care (Intensivists) · Stockbridge, GA
1324
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Lee Diamond
Infectious Disease · Riverdale, GA
67482
Richard Prokesch
Infectious Disease · Riverdale, GA
56265
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
52378
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
3563
PIEDMONT HENRY HOSPITAL, INC.34110
Neal Simmons
Diagnostic Radiology · Riverdale, GA
2157
SOUTHERN REGIONAL HEALTH SYSTEM, INC2141
Balu Mani
Diagnostic Radiology · Riverdale, GA
1952
Bonnie Prokesch
Infectious Disease · Dallas, TX
1851
Muhammed Rahman
Nephrology · Stockbridge, GA
1728
Mobin Shah
Internal Medicine · Fayetteville, GA
1564
Andre' Holmes
Pulmonary Disease · Stockbridge, GA
1544
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14K
Payment records
60
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$10K
Travel and Lodging$2K
Food and Beverage$1K