PROVIDER PROFILE · NPI 1477507648

Mark DowneyMD

PRACTICESPINE GROUP ALABAMA, LLCSee all providers at this practice →

Interventional Pain ManagementBirmingham, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,851

Unique beneficiaries

—

Total services

7,447

Distinct HCPCS

Medicare payment

$246K

Peer benchmark

Total Medicare services vs. 18 Interventional Pain Management providers in AL — above median (cohort median 5,664).

PRESCRIBING · PART D · 2024

Total Rx claims

1,309

Beneficiaries

—

Total drug cost

$13K

Distinct drugs

Brand share

15.8%

Top prescribed drugs

Gabapentin349 claims

Tramadol Hcl246 claims

Hydrocodone/Acetaminophen160 claims

Methocarbamol137 claims

Celecoxib105 claims

QUALITY · MIPS · 2024

Final MIPS score

21.3

Quality

0.0

Cost

71.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.44%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$542

Payment records

By payment type

Food and Beverage$542

REFERRAL NETWORK

Where Mark Downey'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). 25 inbound referrers · 35 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Teddy Sartin Anesthesiology · Birmingham, AL	190	298
Haley Brignac Certified Registered Nurse Anesthetist (CRNA) · Dothan, AL	148	186
Christy Zarzaur Nurse Practitioner · Birmingham, AL	127	185
Isadore Fleisher Anesthesiology · Bessemer, AL	111	157
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	82	153
RUTLEDGE, CATHERINE	81	100
Jeffrey Wade Orthopedic Surgery · Birmingham, AL	78	92
Jane Williams Anesthesiology · Birmingham, AL	77	91
Amanda Perkins Certified Registered Nurse Anesthetist (CRNA) · Hoover, AL	67	97
Paul Judson Anesthesiology · Bessemer, AL	67	100
Elizabeth Henley Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL	65	109
Janice Conway Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL	60	88

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Medplex Outpatient Surgery Center Ltd Ambulatory Surgical Center · Hoover, AL	160	300
Gregory Umphrey Anesthesiology · Birmingham, AL	130	209
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	74	128
Jonathan Walden Certified Registered Nurse Anesthetist (CRNA) · Greenville, SC	72	107
BROOKWOOD HEALTH SERVICES, INC.	66	106
Teddy Sartin Anesthesiology · Birmingham, AL	55	87
Haley Brignac Certified Registered Nurse Anesthetist (CRNA) · Dothan, AL	53	59
Vestavia Hills Imaging Center Independent Diagnostic Testing Facility (IDTF) · Vestavia Hills, AL	52	69
Katherine Carroll Certified Registered Nurse Anesthetist (CRNA) · Hoover, AL	49	72
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tucker, GA	47	106
Isadore Fleisher Anesthesiology · Bessemer, AL	44	56
James Anderson Certified Registered Nurse Anesthetist (CRNA) · Fredericksburg, VA	38	77

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history