PROVIDER PROFILE · NPI 1518025964

Donald RileyDO

Family PracticeEufala, OKI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

344

Unique beneficiaries

—

Total services

372

Distinct HCPCS

Medicare payment

$32K

Peer benchmark

Total Medicare services vs. 1,266 Family Practice providers in OK — below median (cohort median 833).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$747

Distinct drugs

Brand share

34.6%

Top prescribed drugs

Cefdinir23 claims

Prednisone16 claims

Hydrocodone/Acetaminophen14 claims

Ondansetron13 claims

Cephalexin12 claims

QUALITY · MIPS · 2024

Final MIPS score

95.8

Quality

81.2

Cost

79.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.88%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Donald Riley'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). 32 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MCALESTER REGIONAL HEALTH CENTER AUTHORITY	619	1,874
Pafford Ems Of Oklahoma Inc Ambulance Service Provider · Claremore, OK	149	445
City Of Mcalester Ambulance Service Provider · Mcalester, OK	90	216
Norman Mcalester Emergency Medicine · Mcalester, OK	33	83
Karen Siren Emergency Medicine · Mcalester, OK	29	109
Johnny Zellmer Family Practice · Mcalester, OK	28	104
SAINT FRANCIS HOSPITAL, INC.	26	56
Kishore Kumar Hospitalist · Oklahoma City, OK	26	59
SE EMS OF OKLAHOMA, LLC	22	56
Jason Mcelyea Emergency Medicine · Mcalester, OK	21	60
Yolette Louis Hospitalist · Fargo, ND	21	44
Theodore Pettle Gastroenterology · Mcallen, TX	21	47

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history