PROVIDER PROFILE · NPI 1578505426

Ben GomezMD

PRACTICECULLMAN REGIONAL ORTHOPEDICS & SPORTS MEDICINE, PCSee all providers at this practice →

Orthopedic SurgeryCullman, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

938

Unique beneficiaries

—

Total services

1,997

Distinct HCPCS

Medicare payment

$62K

Peer benchmark

Total Medicare services vs. 334 Orthopedic Surgery providers in AL — above median (cohort median 2,095).

PRESCRIBING · PART D · 2024

Total Rx claims

404

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

46.5%

Top prescribed drugs

Hydrocodone/Acetaminophen143 claims

Meloxicam103 claims

Tramadol Hcl52 claims

Oxycodone Hcl/Acetaminophen33 claims

Gabapentin27 claims

QUALITY · MIPS · 2024

Final MIPS score

78.3

Quality

62.1

Cost

78.1

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.14%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Ben 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). 30 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CULLMAN REGIONAL MEDICAL CENTER, INC	195	930
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	70	138
NPI 1215932389	30	87
Heritage Diagnostic Center, Llc Independent Diagnostic Testing Facility (IDTF) · Cullman, AL	26	50
Jeremy Stidham Internal Medicine · Cullman, AL	26	104
Julian Druhan Diagnostic Radiology · Birmingham, AL	25	63
Melinda Hart Internal Medicine · Cullman, AL	25	114
Gordon Warner Pulmonary Disease · Cullman, AL	22	78
RUTLEDGE, CHARLES	20	44
Scott Akin Diagnostic Radiology · Vestavia, AL	19	79
Donald Kelly Diagnostic Radiology · Birmingham, AL	19	33
Scott Thompson Diagnostic Radiology · Birmingham, AL	18	51

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