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PROVIDER PROFILE · NPI 1508873019

Gerald FishmanMD

PRACTICELEXINGTON HEALTH INCSee all providers at this practice →
Family PracticeColumbia, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,537
Unique beneficiaries
—
Total services
2,275
Distinct HCPCS
11
Medicare payment
$79K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,484 Family Practice providers in SC — top quintile (cohort median 1,121).
REFERRAL NETWORK

Where Gerald Fishman'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). 20 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC5193,739
Joshua Mccain
Diagnostic Radiology · Rockford, IL
2581
Beth Siroty-Smith
Diagnostic Radiology · West Columbia, SC
2558
Ryan Krafft
Physical Medicine and Rehabilitation · Mountain Home, AR
22132
Edwin Pia
Diagnostic Radiology · West Columbia, SC
2162
Gregory Fulcher
Family Practice · Columbia, SC
2133
PRISMA HEALTH-MIDLANDS2177
PROVIDENCE HOSPITAL, LLC2076
Ariel Pertile
Diagnostic Radiology · West Columbia, SC
1942
CLEMENZ, LAYNE1848
Nicholas Mayes
Diagnostic Radiology · West Columbia, SC
1742
Wilson Van Dam
Physical Medicine and Rehabilitation · Columbia, SC
1788
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.
PRESCRIBING · PART D · 2024
Total Rx claims
8,321
Beneficiaries
—
Total drug cost
$920K
Distinct drugs
117
Brand share
17.6%
Top prescribed drugs
Levothyroxine Sodium573 claims
Atorvastatin Calcium374 claims
Amlodipine Besylate371 claims
Losartan Potassium357 claims
Rosuvastatin Calcium349 claims
QUALITY · MIPS · 2024
Final MIPS score
84.1
Quality
68.9
Cost
78.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.38%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$191
Payment records
9
By payment type
Food and Beverage$191