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PROVIDER PROFILE · NPI 1376557264

Melissa GainesMD

Internal MedicineSpringfield, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.8
Quality
74.4
Cost
78.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
20,861
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
194
Brand share
21.1%
Top prescribed drugs
Levothyroxine Sodium994 claims
Atorvastatin Calcium831 claims
Amlodipine Besylate613 claims
Lisinopril572 claims
Omeprazole557 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,422
Unique beneficiaries
—
Total services
2,177
Distinct HCPCS
18
Medicare payment
$110K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,563 Internal Medicine providers in MO — top quintile (cohort median 658).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$9K
Payment records
59
By payment type
Consulting Fee$5K
Travel and Lodging$2K
Food and Beverage$1K
REFERRAL NETWORK

Where Melissa Gaines'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). 20 inbound referrers · 60 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WESLEY MEDICAL CENTER LLC190539
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
129584
County Of Sedgwick
Ambulance Service Provider · Wichita, KS
66199
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.59226
Samuel Akidiva
Hospitalist · Wichita, KS
50138
Akash Joshi
Diagnostic Radiology · Orange, CA
4390
Charles Mcguire
Diagnostic Radiology · Wichita, KS
3572
John Lohnes
Diagnostic Radiology · Wichita, KS
2762
LABORATORY CORPORATION OF AMERICA HOLDINGS26114
John Knudtson
Diagnostic Radiology · Wichita, KS
2646
DAVIS, DANIEL2447
William Salyers
Gastroenterology · Wichita, KS
1755
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WESLEY MEDICAL CENTER LLC194581
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
96344
Jennifer Larsen
Physician Assistant · Wichita, KS
66317
Adam Zarchan
Diagnostic Radiology · Wichita, KS
65154
Wassim Shaheen
Interventional Cardiology · Wichita, KS
53156
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.47174
Samuel Akidiva
Hospitalist · Wichita, KS
42129
Tyler Ternes
Diagnostic Radiology · Wichita, KS
4093
AFFILIATED MEDICAL SERVICES LABORATORY, INC.40258
FORGE, JOHN38179
DAVIS, DANIEL3895
Nathan Dobbs
Diagnostic Radiology · Wichita, KS
38115
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.