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PROVIDER PROFILE · NPI 1417009499

Justin SwainPA-C

PRACTICENOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLCSee all providers at this practice →
Physician AssistantMt Pleasant, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
PRESCRIBING · PART D · 2024
Total Rx claims
624
Beneficiaries
—
Total drug cost
$7K
Distinct drugs
14
Brand share
25.2%
Top prescribed drugs
Cephalexin133 claims
Hydrocodone/Acetaminophen119 claims
Cyclobenzaprine Hcl58 claims
Tizanidine Hcl57 claims
Naloxone Hcl43 claims
QUALITY · MIPS · 2024
Final MIPS score
70.3
Quality
43.6
Cost
69.1
Improvement activities
40.0
Promoting interop.
86.0
Payment adjustment
-0.56%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
441
Unique beneficiaries
—
Total services
553
Distinct HCPCS
14
Medicare payment
$31K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,812 Physician Assistant providers in SC — above median (cohort median 383).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$461
Payment records
25
By payment type
Food and Beverage$461
REFERRAL NETWORK

Where Justin Swain'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 · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ELAB SOLUTIONS CORPORATION1818
The Southeastern Spine Institute Ambulatory Surgery Center, Llc
Ambulatory Surgical Center · Mt. Pleasant, SC
1738
Thomas Anderson
Neurosurgery · Mt Pleasant, SC
1528
Janet Dagostino
Family Practice · San Angelo, TX
1421
Deborah Lay
Internal Medicine · Charleston, SC
1218
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Steven Poletti
Orthopedic Surgery · Mt Pleasant, SC
86242
EAST COOPER COMMUNITY HOSPITAL, INC.4061
MURPHY, ADRIANNE2642
Chuong Le
Neurology · San Jose, CA
2235
Caitlin Tuggle
Physician Assistant · Mt Pleasant, SC
1724
Charles Weinheimer
Anesthesiology · Mount Pleasant, SC
1619
Jay Gottesman
Anesthesiology · Charleston, SC
1314
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.