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PROVIDER PROFILE · NPI 1447230750

John SmithM.D.

PRACTICECAPITAL DIGESTIVE CARE LLCSee all providers at this practice →
GastroenterologyNorfolk, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
17.3
Cost
73.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
700
Beneficiaries
—
Total drug cost
$187K
Distinct drugs
18
Brand share
49.4%
Top prescribed drugs
Pantoprazole Sodium94 claims
Omeprazole85 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl80 claims
Linaclotide54 claims
Ondansetron48 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$748
Payment records
33
By payment type
Food and Beverage$748
Top paying entities
Food and Beverage$748
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,000
Unique beneficiaries
—
Total services
1,126
Distinct HCPCS
16
Medicare payment
$133K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 375 Gastroenterology providers in VA — above median (cohort median 781).
REFERRAL NETWORK

Where John 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). 85 inbound referrers · 139 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SENTARA HOSPITALS3571,061
SOLSTAS LAB PARTNERS GROUP LLC95321
Jeff Willis
Gastroenterology · Missoula, MT
80269
Kelvin Hornbuckle
Gastroenterology · Norfolk, VA
74271
Kathy Byun
Diagnostic Radiology · Virginia Beach, VA
62153
Christopher Dobzyniak
Diagnostic Radiology · Virginia Beach, VA
59130
Adam Specht
Diagnostic Radiology · Virginia Beach, VA
58138
JOHNSON, DAVID48163
Desencia Thomas
Diagnostic Radiology · Houston, TX
47112
Jeffrey Crass
Diagnostic Radiology · Virginia Beach, VA
4594
City Of Norfolk
Ambulance Service Provider · Norfolk, VA
4186
Kirstin Davis
Diagnostic Radiology · Virginia Beach, VA
3278
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SENTARA HOSPITALS3731,079
SENTARA HOSPITALS205579
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
89217
NPI 175038495480277
Frank Wootton
Gastroenterology · Norfolk, VA
68237
Jeff Willis
Gastroenterology · Missoula, MT
67249
Syed Ismail Thiwan Syed
Gastroenterology · Norfolk, VA
65211
JOHNSON, DAVID64198
Kelvin Hornbuckle
Gastroenterology · Norfolk, VA
54233
Jennifer Weaver
Diagnostic Radiology · San Antonio, TX
50126
Michael Ryan
Gastroenterology · Norfolk, VA
49174
FAUL, LLOYD4896
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.