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PROVIDER PROFILE · NPI 1376768838

Ramona PaytonFNP

PRACTICEWELLSTAR PAULDING SURGICAL ASSOCIATES, LLCSee all providers at this practice →
Nurse PractitionerHiram, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
2,722
Beneficiaries
—
Total drug cost
$138K
Distinct drugs
67
Brand share
16.5%
Top prescribed drugs
Atorvastatin Calcium227 claims
Amlodipine Besylate211 claims
Levothyroxine Sodium134 claims
Losartan Potassium118 claims
Rosuvastatin Calcium116 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
283
Unique beneficiaries
—
Total services
346
Distinct HCPCS
9
Medicare payment
$24K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,490 Nurse Practitioner providers in GA — above median (cohort median 244).
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
82.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
REFERRAL NETWORK

Where Ramona Payton'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). 5 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PAULDING MEDICAL CENTER, INC.66115
COBB HOSPITAL, INC63108
Alan Cheng
Cardiology · Hiram, GA
2039
Laura Peno-Green
Pulmonary Disease · Gastonia, NC
1360
Joseph Moyers
Diagnostic Radiology · Marietta, GA
1123
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
David Gose
Internal Medicine · Hiram, GA
234588
COBB HOSPITAL, INC201319
PAULDING MEDICAL CENTER, INC.108198
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
2544
KENNESTONE HOSPITAL, INC.2228
Richard Maguire
Orthopedic Surgery · Cartersville, GA
2141
Laura Peno-Green
Pulmonary Disease · Gastonia, NC
2054
SACKS, HARVEY1628
Abdul Sheikh
Interventional Cardiology · Hiram, GA
1632
Alan Cheng
Cardiology · Hiram, GA
1527
Mark Wetherly
Diagnostic Radiology · Marietta, GA
1527
John Gira
Diagnostic Radiology · Marietta, GA
1218
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$594
Payment records
32
By payment type
Food and Beverage$594