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PROVIDER PROFILE · NPI 1538160858

Clark SpringsMD

OphthalmologyWilmington, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Clark Springs'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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
INDIANA UNIVERSITY HEALTH INC93295
James Qualkinbush
Anesthesiology · Indianapolis, IN
1627
Louis Cantor
Ophthalmology · Indianapolis, IN
1635
COMMUNITY HEALTH NETWORK, INC1537
Min Zhao
Anesthesiology · Indianapolis, IN
1416
ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC.1328
FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE1115
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,226
Unique beneficiaries
—
Total services
1,604
Distinct HCPCS
14
Medicare payment
$193K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 512 Ophthalmology providers in NC — below median (cohort median 2,093).
PRESCRIBING · PART D · 2024
Total Rx claims
1,081
Beneficiaries
—
Total drug cost
$51K
Distinct drugs
13
Brand share
40.9%
Top prescribed drugs
Prednisolone Acetate421 claims
Moxifloxacin Hcl327 claims
Ketorolac Tromethamine87 claims
Valacyclovir Hcl46 claims
Fluorometholone34 claims
QUALITY · MIPS · 2024
Final MIPS score
89.6
Quality
91.4
Cost
74.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.61%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$5K
Payment records
56
By payment type
Travel and Lodging$2K
Food and Beverage$1K
Consulting Fee$975