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PROVIDER PROFILE · NPI 1316169170

Jeffrey HigginbothamMD

Interventional Pain ManagementAustin, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
87.1
Quality
74.4
Cost
68.3
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.51%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
6,906
Beneficiaries
—
Total drug cost
$459K
Distinct drugs
41
Brand share
63.8%
Top prescribed drugs
Hydrocodone/Acetaminophen2,872 claims
Oxycodone Hcl702 claims
Oxycodone Hcl/Acetaminophen560 claims
Morphine Sulfate420 claims
Hydromorphone Hcl205 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,041
Unique beneficiaries
—
Total services
3,415
Distinct HCPCS
29
Medicare payment
$257K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 175 Interventional Pain Management providers in TX — above median (cohort median 3,022).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$4K
Payment records
70
By payment type
Food and Beverage$4K
REFERRAL NETWORK

Where Jeffrey Higginbotham'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). 12 inbound referrers · 31 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Northwest Surgery Center, Llp
Ambulatory Surgical Center · Austin, TX
155577
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
131475
ASCENSION SETON33198
City Of Austin
Ambulance Service Provider · Austin, TX
29102
ASCENSION SETON28119
ARISE HEALTHCARE SYSTEM, LLC1980
Ara/St. David's Imaging, Lp
Independent Diagnostic Testing Facility (IDTF) · Austin, TX
1658
Kristopher Webb
Neurosurgery · Austin, TX
1561
John Hogg
Diagnostic Radiology · San Antonio, TX
1536
NPI 14678571851256
SCOTT & WHITE HOSPITAL - ROUND ROCK1187
ASCENSION SETON1139
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
135516
Northwest Surgery Center, Llp
Ambulatory Surgical Center · Austin, TX
133423
HARO, JULIAN64189
ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP56170
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
43155
ASCENSION SETON34171
ASCENSION SETON33124
City Of Austin
Ambulance Service Provider · Austin, TX
3297
ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP2968
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP26124
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
23100
ST. MARK'S MEDICAL CENTER20103
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.