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PROVIDER PROFILE · NPI 1548209695

Heidi HughesPA-C

PRACTICEPRAIRIE RIDGE HEALTH, INC.See all providers at this practice →
Physician AssistantColumbus, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
379
Unique beneficiaries
—
Total services
572
Distinct HCPCS
7
Medicare payment
$16K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,745 Physician Assistant providers in WI — top quintile (cohort median 189).
REFERRAL NETWORK

Where Heidi Hughes'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). 1 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Nazi Khan
Pulmonary Disease · Columbus, WI
52396
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.
QUALITY · MIPS · 2024
Final MIPS score
83.3
Quality
87.8
Cost
75.8
Improvement activities
40.0
Promoting interop.
77.0
Payment adjustment
0.35%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,307
Beneficiaries
—
Total drug cost
$132K
Distinct drugs
50
Brand share
20.4%
Top prescribed drugs
Atorvastatin Calcium93 claims
Amlodipine Besylate62 claims
Lisinopril62 claims
Metoprolol Succinate60 claims
Omeprazole59 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.