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PROVIDER PROFILE · NPI 1407894850

Matthew ShaneMD

General SurgeryLexington, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
30.0
Quality
0.0
Cost
100.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.40%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
361
Beneficiaries
—
Total drug cost
$5K
Distinct drugs
8
Brand share
77.8%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen134 claims
Ondansetron69 claims
Ondansetron Hcl53 claims
Hydrocodone/Acetaminophen52 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl15 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
404
Unique beneficiaries
—
Total services
450
Distinct HCPCS
12
Medicare payment
$74K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 331 General Surgery providers in KY — top quintile (cohort median 337).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$82
Payment records
3
By payment type
Food and Beverage$82
REFERRAL NETWORK

Where Matthew Shane'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). 15 inbound referrers · 43 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Marc Ford
Diagnostic Radiology · Lexington, KY
56146
RICE, NELSON53147
Kevin Scully
Cardiology · Lexington, KY
33109
JANSEN, JOHN2764
Paula Hollingsworth
Interventional Cardiology · Lexington, KY
20112
William Skinner
Cardiology · Lexington, KY
1958
WHITE, JOHN1745
EL-SIOUFI, SHERENE1747
Atul Chugh
Internal Medicine · Indianapolis, IN
1649
Joseph Mueller
Pulmonary Disease · Lexington, KY
1634
Donna Gerhardstein
Critical Care (Intensivists) · Lexington, KY
1657
Mayuri Reddy
Hospitalist · Lexington, KY
1426
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BAPTIST HEALTHCARE SYSTEM, INC167643
SIMPSON, JAMES51141
Adam Smith
Diagnostic Radiology · Germantown, TN
51148
Katherine Jenkins
Diagnostic Radiology · Lexington, KY
49145
RICE, NELSON42136
Baptist-Physicians Surgery Center
Ambulatory Surgical Center · Lexington, KY
38128
Marc Ford
Diagnostic Radiology · Lexington, KY
3293
Kevin Scully
Cardiology · Lexington, KY
2680
JANSEN, JOHN2643
DAVIS, DARON2471
MERCURY AMBULANCE SERVICE INC2237
MERCY AMBULANCE OF EVANSVILLE INC2256
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.