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PROVIDER PROFILE · NPI 1336158294

John EdwardsMD

OtolaryngologyKingwood, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
75.5
Quality
64.9
Cost
75.9
Improvement activities
40.0
Promoting interop.
73.0
Payment adjustment
0.02%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,466
Beneficiaries
—
Total drug cost
$21K
Distinct drugs
24
Brand share
11.1%
Top prescribed drugs
Azelastine Hcl323 claims
Fluticasone Propionate292 claims
Pantoprazole Sodium193 claims
Amoxicillin/Potassium Clav79 claims
Clotrimazole/Betamethasone Dip68 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
40
By payment type
Food and Beverage$1K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
825
Unique beneficiaries
—
Total services
982
Distinct HCPCS
13
Medicare payment
$73K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 668 Otolaryngology providers in TX — above median (cohort median 967).
REFERRAL NETWORK

Where John Edwards'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). 8 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Mackenzie Thomas
Audiologist · Spring Branch, TX
112204
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
4178
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.2943
Leonard Deal
Pulmonary Disease · San Antonio, TX
1838
James Bell
Physician Assistant · Schertz, TX
1224
Barbara Forseth
Internal Medicine · Live Oak, TX
1121
SHIRLEY-WENZEL, LORRAINE1121
Steven Hilburn
Pulmonary Disease · San Antonio, TX
1132
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
116229
VHS SAN ANTONIO PARTNERS LLC82252
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
73146
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
3062
Darrell Mcquade
Audiologist · San Antonio, TX
2634
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.2439
Mackenzie Thomas
Audiologist · Spring Branch, TX
2236
Armistead Wellford
Cardiology · San Antonio, TX
2040
Leonard Deal
Pulmonary Disease · San Antonio, TX
1650
JARZOMBEK, CHANTAL1548
Edwin Whitney
Cardiology · San Antonio, TX
1452
David Wood
Diagnostic Radiology · San Antonio, TX
1319
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.