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PROVIDER PROFILE · NPI 1578777017

Kristen HigginsMD

DermatologyGastonia, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,714
Unique beneficiaries
—
Total services
5,427
Distinct HCPCS
20
Medicare payment
$198K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 399 Dermatology providers in NC — top quintile (cohort median 2,602).
REFERRAL NETWORK

Where Kristen 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). 18 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
GASTON MEMORIAL HOSPITAL, INCORPORATED140332
PULITZER, DONALD94116
RUSHING, ERICA88118
NPI 141794274984108
PHADKE, PUSHKAR7499
YAAR, RON6978
SOLSTAS LAB PARTNERS GROUP LLC57176
Muammar Arida
Pathology · Pompano Beach, FL
5573
NESS, DANIEL1921
Rodger Lefler
Internal Medicine · Gastonia, NC
1539
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY1528
CAROLINAS MEDICAL CENTER1423
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,190
Beneficiaries
—
Total drug cost
$405K
Distinct drugs
25
Brand share
6.4%
Top prescribed drugs
Ketoconazole216 claims
Triamcinolone Acetonide133 claims
Mupirocin104 claims
Clobetasol Propionate85 claims
Hydrocortisone82 claims
QUALITY · MIPS · 2024
Final MIPS score
89.7
Quality
91.9
Cost
78.6
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.62%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
135
By payment type
Food and Beverage$2K
Education$100