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PROVIDER PROFILE · NPI 1508962366

Donald GrahamM.D.

PRACTICEST. JOHN'S HOSPITALSee all providers at this practice →
Internal MedicineSpringfield, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
88.8
Quality
75.7
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.58%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
660
Beneficiaries
—
Total drug cost
$331K
Distinct drugs
30
Brand share
23.5%
Top prescribed drugs
Trimethoprim63 claims
Allopurinol50 claims
Cephalexin43 claims
Furosemide36 claims
Doxycycline Monohydrate30 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
397
Unique beneficiaries
—
Total services
721
Distinct HCPCS
11
Medicare payment
$54K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,790 Internal Medicine providers in IL — top quintile (cohort median 760).
REFERRAL NETWORK

Where Donald Graham'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). 73 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEMORIAL MEDICAL CENTER2413,178
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
2135,325
Steven O'marro
Infectious Disease · Springfield, IL
1232,394
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F1073,738
LEIGH, DOUGLAS1051,822
Praveen Mullangi
Infectious Disease · Springfield, IL
981,527
Sandipkumar Patel
Internal Medicine · Springfield, IL
45236
Kevin Coakley
Diagnostic Radiology · Springfield, IL
45114
Marisa Blitstein
Diagnostic Radiology · Springfield, IL
44128
Robert Haag
Diagnostic Radiology · Quincy, IL
44132
Nzeadibenma Uzochukwu
Diagnostic Radiology · Springfield, IL
36215
Joseph Baima
Diagnostic Radiology · Springfield, IL
35129
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.