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PROVIDER PROFILE · NPI 1497778047

Michael GainesMD

PRACTICECHEAHA AREA REGIONAL EMERGENCY SERVICES OF OXFORDSee all providers at this practice →
Family PracticeOxford, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$146
Payment records
8
By payment type
Food and Beverage$146
PRESCRIBING · PART D · 2024
Total Rx claims
9,233
Beneficiaries
—
Total drug cost
$411K
Distinct drugs
146
Brand share
18.8%
Top prescribed drugs
Atorvastatin Calcium407 claims
Amlodipine Besylate350 claims
Gabapentin319 claims
Lisinopril304 claims
Levothyroxine Sodium241 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
7,107
Unique beneficiaries
—
Total services
11,663
Distinct HCPCS
52
Medicare payment
$292K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,250 Family Practice providers in AL — top quintile (cohort median 957).
REFERRAL NETWORK

Where Michael Gaines'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). 30 inbound referrers · 87 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON189423
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
115170
Robert Cater
Family Practice · Anniston, AL
104194
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON51107
Wilfredo Grana
Internal Medicine · Anniston, AL
45304
Laboratory Corporation Of America Holdings
Clinical Laboratory · Anniston, AL
4564
GARNER, ROBERT4278
Mahomed Salame
Cardiology · Anniston, AL
40144
Michael Jones
Diagnostic Radiology · Gainesville, GA
3975
UNIVERSITY OF ALABAMA AT BIRMINGHAM3886
Mohammad Kamran
Cardiology · Anniston, AL
3463
Rohit Patel
Pulmonary Disease · Anniston, AL
34175
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON237567
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
216414
Rodney Snead
Family Practice · Anniston, AL
113250
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
107187
Robert Cater
Family Practice · Anniston, AL
87179
Michael Jones
Diagnostic Radiology · Gainesville, GA
72145
THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON65125
Gary Morgan
Diagnostic Radiology · Anniston, AL
60134
Mahomed Salame
Cardiology · Anniston, AL
58188
GARNER, ROBERT5598
Robert Stone
Diagnostic Radiology · Anniston, AL
48115
Mohammad Kamran
Cardiology · Anniston, AL
45107
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.