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PROVIDER PROFILE · NPI 1386794113

Charles DecookMD

Orthopedic SurgeryCumming, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
79.3
Quality
67.8
Cost
85.6
Improvement activities
40.0
Promoting interop.
73.0
Payment adjustment
0.18%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,722
Beneficiaries
—
Total drug cost
$11K
Distinct drugs
17
Brand share
0.0%
Top prescribed drugs
Oxycodone Hcl825 claims
Pregabalin404 claims
Amoxicillin350 claims
Ibuprofen227 claims
Gabapentin189 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$300K
Payment records
279
By payment type
Education$251K
Travel and Lodging$22K
Consulting Fee$16K
Food and Beverage$7K
Long term medical supply or device loan$2K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,047
Unique beneficiaries
—
Total services
13,508
Distinct HCPCS
15
Medicare payment
$750K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 640 Orthopedic Surgery providers in GA — top quintile (cohort median 2,020).
REFERRAL NETWORK

Where Charles Decook'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). 51 inbound referrers · 104 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTHEAST GEORGIA MEDICAL CENTER, INC.4891,638
Christopher Thomas
Physician Assistant · Gainesville, GA
230712
PROFESSIONAL THERAPY SERVICES, LLC103471
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
75221
AMEDISYS GEORGIA, L.L.C.60124
Ezra Ellis
Pathology · Gainesville, GA
43139
Jeffrey Garrett
Orthopedic Surgery · Greenville, NC
3884
FINLAYSON, RODERICK34150
Mark Matthews
Cardiology · Myrtle Beach, SC
33127
Sumi So
Pathology · Gainesville, GA
3297
Abhishek Gaur
Cardiology · Gainesville, GA
31114
Robert Balotin
Diagnostic Radiology · Gainesville, GA
3057
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHEAST GEORGIA MEDICAL CENTER, INC.6431,977
Christopher Thomas
Physician Assistant · Gainesville, GA
4031,221
AMEDISYS GEORGIA, L.L.C.162628
PROFESSIONAL THERAPY SERVICES, LLC90383
Jeffrey Garrett
Orthopedic Surgery · Greenville, NC
74217
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
64195
AMEDISYS GEORGIA, L.L.C.60160
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
60147
David Bailey
Anesthesiology · Gainesville, GA
56175
Ezra Ellis
Pathology · Gainesville, GA
4373
Shaan Shah
Diagnostic Radiology · Gainseville, GA
43105
NPI 191295908141109
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.