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PROVIDER PROFILE · NPI 1396744231

Donna SmithNP

Nurse PractitionerCharlottesville, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Donna Smith'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). 7 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL200388
David Balaban
Gastroenterology · Charlottesville, VA
3343
Diego Gomez
Gastroenterology · Charlottesville, VA
3352
OBLINGER, MICHAEL1925
Jay Fertile
Diagnostic Radiology · Charlottesville, VA
1620
Christopher Cook
Diagnostic Radiology · Charlottesville, VA
1416
Byrd Leavell
Gastroenterology · Charlottesville, VA
1215
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL168295
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA5184
Diego Gomez
Gastroenterology · Charlottesville, VA
4072
Daniel Pambianco
Gastroenterology · Charlottesville, VA
3656
OBLINGER, MICHAEL3051
David Balaban
Gastroenterology · Charlottesville, VA
2849
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
2738
V. Peyton
Diagnostic Radiology · Charlottesville, VA
2427
Anthony Spinelli
Diagnostic Radiology · Charlottesville, VA
2123
Laura Spinelli
Pathology · Charlottesville, VA
2024
Sean Lyman
Diagnostic Radiology · Charlottesville, VA
1919
MACMILLAN, RICHARD1820
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
196
Unique beneficiaries
—
Total services
198
Distinct HCPCS
4
Medicare payment
$13K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 5,426 Nurse Practitioner providers in VA — below median (cohort median 281).
PRESCRIBING · PART D · 2024
Total Rx claims
367
Beneficiaries
—
Total drug cost
$13K
Distinct drugs
11
Brand share
46.6%
Top prescribed drugs
Pantoprazole Sodium96 claims
Omeprazole52 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl38 claims
Dicyclomine Hcl33 claims
Sodium, Potassium,mag Sulfates28 claims
QUALITY · MIPS · 2024
Final MIPS score
80.5
Quality
56.1
Cost
80.6
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.23%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
62
By payment type
Food and Beverage$1K