PROVIDER PROFILE · NPI 1568611655

Derek HigginsD.O.

Physical Medicine and RehabilitationGilbert, AZI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,663

Unique beneficiaries

—

Total services

64,720

Distinct HCPCS

Medicare payment

$347K

Peer benchmark

Total Medicare services vs. 137 Physical Medicine and Rehabilitation providers in AZ — top quintile (cohort median 2,309).

PRESCRIBING · PART D · 2024

Total Rx claims

504

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

29.8%

Top prescribed drugs

Oxycodone Hcl73 claims

Hydrocodone/Acetaminophen69 claims

Oxycodone Hcl/Acetaminophen62 claims

Gabapentin49 claims

Tramadol Hcl36 claims

QUALITY · MIPS · 2024

Final MIPS score

91.3

Quality

95.3

Cost

64.5

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.69%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$212

Payment records

By payment type

Food and Beverage$189

Education$23

REFERRAL NETWORK

Where Derek Higgins'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

Physician	Patients	Visits
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF EAST VALLEY, LLC	244	398
Ramesh Ramaswamy Internal Medicine · Mesa, AZ	102	641
Robert Arashahi Internal Medicine · Mesa, AZ	90	121
Hassan Akinbiyi Physical Medicine and Rehabilitation · Chandler, AZ	70	299
NPI 1316992407	49	65
Anthony Aghenta Internal Medicine · Gilbert, AZ	45	111
Edward Markman Internal Medicine · Flagstaff, AZ	42	178
Denise Kulesha Diagnostic Radiology · El Segundo, CA	41	71
Marc Tobler Diagnostic Radiology · Temple, TX	41	85
R M Arizona Holdings Inc Ambulance Service Provider · Mesa, AZ	40	63
BANNER BAYWOOD MEDICAL CENTER	36	92
Stamatis Kantartzis Diagnostic Radiology · Chandler, AZ	34	58

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