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PROVIDER PROFILE · NPI 1336233626

Billy ColeD.O.

Internal MedicineBeckley, WVI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,413
Unique beneficiaries
—
Total services
2,009
Distinct HCPCS
13
Medicare payment
$23K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 508 Internal Medicine providers in WV — top quintile (cohort median 523).
REFERRAL NETWORK

Where Billy Cole'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 · 23 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COMMUNITY HEALTH SYSTEMS, INC.121205
Paul Ratcliff
Diagnostic Radiology · Port Charlotte, FL
2544
Jan-Care Ambulance Of Raleigh County Inc
Ambulance Service Provider · Beckley, WV
2255
Alan Lintala
Diagnostic Radiology · Beckley, WV
2227
Shawn Reesman
Diagnostic Radiology · Beckley, WV
2042
Bharat Patel
Diagnostic Radiology · Beckley, WV
1931
Ely Salon
Internal Medicine · Beckley, WV
1138
Barry Vaught
Neurology · Crab Orchard, WV
1134
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COMMUNITY HEALTH SYSTEMS INC.300849
Rodney Fink
Family Practice · Daniels, WV
216437
RALEIGH GENERAL HOSPITAL LLC88311
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
70139
Angel Rosas-Acevedo
Diagnostic Radiology · Beckley, WV
3959
APPALACHIAN REGIONAL HEALTHCARE, INC3164
Mercedes Ramas
Diagnostic Radiology · Warren, OH
3064
COMMUNITY HEALTH SYSTEMS, INC.2837
Henry Setliff
Diagnostic Radiology · Beckley, WV
2755
DANIEL, CHARLES2542
Jan-Care Ambulance Of Raleigh County Inc
Ambulance Service Provider · Beckley, WV
2355
Alan Lintala
Diagnostic Radiology · Beckley, WV
2235
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.
PRESCRIBING · PART D · 2024
Total Rx claims
15,889
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
182
Brand share
22.9%
Top prescribed drugs
Atorvastatin Calcium638 claims
Levothyroxine Sodium545 claims
Gabapentin498 claims
Furosemide436 claims
Omeprazole431 claims
QUALITY · MIPS · 2024
Final MIPS score
88.5
Quality
92.6
Cost
69.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.57%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.