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PROVIDER PROFILE · NPI 1437319993

Donald PhamM.D.

GastroenterologyLawrenceville, 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
1,776
Beneficiaries
—
Total drug cost
$728K
Distinct drugs
28
Brand share
28.5%
Top prescribed drugs
Omeprazole480 claims
Pantoprazole Sodium240 claims
Dicyclomine Hcl188 claims
Tenofovir Alafenamide131 claims
Linaclotide77 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
264
Unique beneficiaries
—
Total services
294
Distinct HCPCS
8
Medicare payment
$29K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 389 Gastroenterology providers in GA — below median (cohort median 747).
REFERRAL NETWORK

Where Donald Pham'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). 48 inbound referrers · 67 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
EASTSIDE MEDICAL CENTER, LLC67204
Gwinnett County Board Of Commissioners
Ambulance Service Provider · Lawrenceville, GA
66172
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
52133
Gwinnett Endoscopy Center, Pc
Ambulatory Surgical Center · Lawrenceville, GA
47105
NPI 127552944844156
Nam Ky Do
Diagnostic Radiology · Lawrenceville, GA
3577
Gautam Jagoo
Diagnostic Radiology · Snellville, GA
32105
Jaymin Patel
Diagnostic Radiology · Lawrenceville, GA
2979
WEISBERG, ANDREW2758
Douglas Seeb
Diagnostic Radiology · Lawrenceville, GA
2762
Joseph Perez
Internal Medicine · Lawrenceville, GA
26103
Neal Frenkel
Diagnostic Radiology · Lawrenceville, GA
2561
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHSIDE HOSPITAL, INC.79278
NORTHSIDE HOSPITAL, INC.56175
EASTSIDE MEDICAL CENTER, LLC45116
NORTHSIDE HOSPITAL, INC.42143
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
4098
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
37106
PRO CARE EMS, LLC35143
Jyotsna Talapaneni
Gastroenterology · Lawrenceville, GA
34171
Gwinnett Endoscopy Center, Pc
Ambulatory Surgical Center · Lawrenceville, GA
3040
Jacob Sepmeyer
Diagnostic Radiology · Lawrenceville, GA
2858
Nam Ky Do
Diagnostic Radiology · Lawrenceville, GA
2786
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
2674
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.
QUALITY · MIPS · 2024
Final MIPS score
74.4
Quality
44.9
Cost
71.4
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
-0.07%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$450
Payment records
23
By payment type
Food and Beverage$450
Top paying entities
Food and Beverage$450