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PROVIDER PROFILE · NPI 1528219813

Jose Villalon-GomezMD, MPH

Family PracticeAtlanta, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.5
Quality
80.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.82%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
1,029
Beneficiaries
—
Total drug cost
$68K
Distinct drugs
39
Brand share
15.6%
Top prescribed drugs
Atorvastatin Calcium134 claims
Amlodipine Besylate84 claims
Gabapentin53 claims
Levothyroxine Sodium40 claims
Metformin Hcl39 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
66
Unique beneficiaries
—
Total services
69
Distinct HCPCS
2
Medicare payment
$5K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,265 Family Practice providers in GA — bottom quintile (cohort median 688).
REFERRAL NETWORK

Where Jose Villalon-Gomez'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). 27 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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Diagnostic Radiology · Rome, GA
28109
Michael Kizziah
Diagnostic Radiology · Rome, GA
2590
John Hardwell
Internal Medicine · Rome, GA
2486
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.