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PROVIDER PROFILE · NPI 1518953900

Wayne JonesMD

PRACTICEELKMONT COMMUNITY CARESee all providers at this practice →
Emergency MedicineElkmont, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
41.8
Quality
4.0
Cost
82.2
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-3.98%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
962
Beneficiaries
—
Total drug cost
$40K
Distinct drugs
34
Brand share
33.6%
Top prescribed drugs
Ondansetron92 claims
Hydrocodone/Acetaminophen91 claims
Prednisone76 claims
Doxycycline Hyclate66 claims
Levofloxacin61 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$25
Payment records
1
By payment type
Food and Beverage$25
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
863
Unique beneficiaries
—
Total services
910
Distinct HCPCS
6
Medicare payment
$80K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 504 Emergency Medicine providers in AL — top quintile (cohort median 427).
REFERRAL NETWORK

Where Wayne Jones'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). 98 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CRESTWOOD HEALTHCARE LP1,5174,446
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE5681,925
HUNTSVILLE EMERGENCY MEDICAL SERVICES, INC.4781,422
Gregory Tucker
Diagnostic Radiology · Huntsville, AL
191433
Paul Fry
Diagnostic Radiology · Huntsville, AL
181482
Kathleen Felker
Diagnostic Radiology · Huntsville, AL
157326
John Collins
Diagnostic Radiology · Huntsville, AL
147369
Michael Smith
Diagnostic Radiology · Huntsville, AL
130277
Richard Coleman
Diagnostic Radiology · Huntsville, AL
122259
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
114229
ROMER, JOHN111221
Vytautas Pukis
Internal Medicine · Huntsville, AL
110436
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.