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PROVIDER PROFILE · NPI 1316949746

Thomas HiltonMD

CardiologyJacksonville Beach, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 100088
Hospital
CCN 100117
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
550
Beneficiaries
—
Total drug cost
$90K
Distinct drugs
17
Brand share
15.8%
Top prescribed drugs
Amlodipine Besylate71 claims
Atorvastatin Calcium69 claims
Rosuvastatin Calcium54 claims
Metoprolol Tartrate51 claims
Apixaban49 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
526
Unique beneficiaries
—
Total services
676
Distinct HCPCS
11
Medicare payment
$48K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,499 Cardiology providers in FL — bottom quintile (cohort median 2,540).
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
15.1
Cost
80.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$395
Payment records
13
By payment type
Food and Beverage$395
REFERRAL NETWORK

Where Thomas Hilton'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). 130 inbound referrers · 299 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
William Wainwright
Internal Medicine · Jacksonville Beach, FL
228660
SHIRLEY, STEVE225709
City Of Jacksonville
Ambulance Service Provider · Jacksonville, FL
190529
Kevin Crismond
Hospitalist · Jacksonville, FL
181924
Jay Jones
Diagnostic Radiology · Jacksonville, FL
155408
SCHOONOVER, GEORGE112506
Andrew Mcbride
Diagnostic Radiology · Raleigh, NC
111284
Dinesh Jayadevappa
Nephrology · Jacksonville, FL
102433
Karen Fleck
Emergency Medicine · Jacksonville, FL
94266
Kristen Neuharth
Hospitalist · Jacksonville, FL
93338
FERN, SAMUEL90401
Scott Lee
Clinical Cardiac Electrophysiology · Hudson, FL
85225
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BAPTIST MEDICAL CENTER OF THE BEACHES, INC1,4395,044
Pamela Rama
Cardiology · Jacksonville Beach, FL
4901,804
Carlos Sotolongo
Cardiology · Jacksonville Beach, FL
4421,741
Ruple Galani
Cardiology · Jacksonville Beach, FL
3831,519
SHIRLEY, STEVE3241,276
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC310713
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
300800
Mona Shah
Cardiology · Jacksonville, FL
276994
CENTURY AMBULANCE SERVICE, INC.236818
Marcus Fields
Diagnostic Radiology · Jacksonville, FL
230634
City Of Jacksonville
Ambulance Service Provider · Jacksonville, FL
224580
William Wainwright
Internal Medicine · Jacksonville Beach, FL
200515
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.