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PROVIDER PROFILE · NPI 1316928104

Kevin CaldwellM.D.

PRACTICEKEVIN J CALDWELL MD INCSee all providers at this practice →
Family PracticeCrescent City, CAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 050417
Hospital
CCN 380002
Hospital
CCN 381322
Hospital
QUALITY · MIPS · 2024
Final MIPS score
81.5
Quality
72.6
Cost
74.9
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.27%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
3,166
Beneficiaries
—
Total drug cost
$172K
Distinct drugs
67
Brand share
21.6%
Top prescribed drugs
Amlodipine Besylate210 claims
Hydrocodone/Acetaminophen201 claims
Atorvastatin Calcium176 claims
Lisinopril151 claims
Levothyroxine Sodium121 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Kevin Caldwell'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). 9 inbound referrers · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SUTTER COAST HOSPITAL871,031
Helmuth Vollger
Diagnostic Radiology · Hialeah Gardens, FL
51148
Martin Kernberg
Pain Management · Crescent City, CA
4395
DUNCAN, GREGORY2365
NPI 146742476216149
Kelly Kinsley
Dermatology · Arcata, CA
1523
BRUHNS, KARL1320
POLIDORE, THOMAS1356
CURRY HEALTH DISTRICT1242
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
148329
SUTTER COAST HOSPITAL1081,435
Helmuth Vollger
Diagnostic Radiology · Hialeah Gardens, FL
3986
Martin Kernberg
Pain Management · Crescent City, CA
3470
David Cink
Ophthalmology · Medford, OR
3094
DUNCAN, GREGORY2370
ENINGER, LARRY2038
NPI 146742476220147
ASANTE1946
Kelly Kinsley
Dermatology · Arcata, CA
1422
Coastal Pathology Medical Associates, Inc
Clinical Laboratory · Eureka, CA
1329
CURRY HEALTH DISTRICT1358
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
1,286
Unique beneficiaries
—
Total services
2,502
Distinct HCPCS
11
Medicare payment
$161K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 8,228 Family Practice providers in CA — top quintile (cohort median 411).