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PROVIDER PROFILE · NPI 1457304784

Paul CaldwellMD

PRACTICETUCKAHOE ORTHOPAEDIC ASSOCIATES, LTDSee all providers at this practice →
Sports MedicineRichmond, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
77.9
Quality
60.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.12%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
215
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
6
Brand share
19.5%
Top prescribed drugs
Meloxicam69 claims
Oxycodone Hcl/Acetaminophen42 claims
Diclofenac Sodium33 claims
Methylprednisolone27 claims
Ibuprofen23 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$13K
Payment records
52
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$8K
Travel and Lodging$4K
Food and Beverage$892
Top paying entities
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$8K
Travel and Lodging$4K
Food and Beverage$892
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
864
Unique beneficiaries
—
Total services
14,822
Distinct HCPCS
14
Medicare payment
$96K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 49 Sports Medicine providers in VA — top quintile (cohort median 2,938).
REFERRAL NETWORK

Where Paul Caldwell'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). 13 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HCA HEALTH SERVICES OF VIRGINIA INC60147
St. Mary's Ambulatory Surgery Center, Llc
Ambulatory Surgical Center · Richmond, VA
44116
Alan Padgett
Diagnostic Radiology · Richmond, VA
37110
Scott Janus
Anesthesiology · U S A F Academy, CO
2872
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY1933
ADVANCED TECHNOLOGIES IN HOME CARE, INC.1725
David Disler
Diagnostic Radiology · Richmond, VA
1545
Karen Killeen
Diagnostic Radiology · Richmond, VA
1445
Stephen Oakley
Certified Registered Nurse Anesthetist (CRNA) · Richmond, VA
1329
Austin Peat
Diagnostic Radiology · Richmond, VA
1326
Mervyn Colina
Anesthesiology · Chester, VA
1225
Laboratory Corporation Of America Holdings
Clinical Laboratory · Richmond, VA
1226
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC103292
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
73178
St. Mary's Ambulatory Surgery Center, Llc
Ambulatory Surgical Center · Richmond, VA
38106
HCA HEALTH SERVICES OF VIRGINIA INC3494
Alan Padgett
Diagnostic Radiology · Richmond, VA
2532
Scott Janus
Anesthesiology · U S A F Academy, CO
2468
David Disler
Diagnostic Radiology · Richmond, VA
2153
SIMPSON, JOHN1731
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY1640
Peter Travers
Physical Therapist in Private Practice · Richmond, VA
16133
Laboratory Corporation Of America Holdings
Clinical Laboratory · Richmond, VA
1227
Jed Vanichkachorn
Orthopedic Surgery · Richmond, VA
1236
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.