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PROVIDER PROFILE · NPI 1508855123

Edward SamesMD

PRACTICEFAMILY PHYSICIAN ASSOCIATES PSCSee all providers at this practice →
Internal MedicineShelbyville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
79.0
Quality
56.1
Cost
73.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.17%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
8,593
Beneficiaries
—
Total drug cost
$696K
Distinct drugs
132
Brand share
21.2%
Top prescribed drugs
Atorvastatin Calcium585 claims
Rosuvastatin Calcium336 claims
Lisinopril312 claims
Amlodipine Besylate284 claims
Losartan Potassium268 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$458
Payment records
26
By payment type
Food and Beverage$458
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
561
Unique beneficiaries
—
Total services
685
Distinct HCPCS
12
Medicare payment
$46K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,039 Internal Medicine providers in KY — above median (cohort median 766).
REFERRAL NETWORK

Where Edward Sames'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). 18 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kevin Thomas
Diagnostic Radiology · Louisville, KY
4794
Laura Davis
Physician Assistant · Shelbyville, KY
2559
David Wallace
Family Practice · Shelbyville, KY
2489
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.2371
SMITH, JAMES2253
SENIOR, DALE22138
Erik Dowden
Diagnostic Radiology · Atlanta, GA
2157
NORTON HOSPITALS INC1860
KOCH, JOHN1652
Christopher Theuer
General Surgery · Shelbyville, KY
1561
BAPTIST HEALTHCARE SYSTEM INC.1570
Praveen Seshabhattar
Infectious Disease · Louisville, KY
1460
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.