PROVIDER PROFILE · NPI 1609878834

Robert HigginbothamM.D.

OphthalmologySan Luis Obispo, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,723

Unique beneficiaries

—

Total services

3,621

Distinct HCPCS

Medicare payment

$306K

Peer benchmark

Total Medicare services vs. 2,144 Ophthalmology providers in CA — above median (cohort median 1,859).

PRESCRIBING · PART D · 2024

Total Rx claims

1,362

Beneficiaries

—

Total drug cost

$125K

Distinct drugs

Brand share

35.8%

Top prescribed drugs

Latanoprost464 claims

Tobramycin/Dexamethasone162 claims

Dorzolamide Hcl/Timolol Maleat124 claims

Prednisolone Acetate104 claims

Ofloxacin89 claims

QUALITY · MIPS · 2024

Final MIPS score

94.5

Quality

99.6

Cost

82.2

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.82%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$270

Payment records

By payment type

Food and Beverage$270

REFERRAL NETWORK

Where Robert Higginbotham'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). 36 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Pacific Point Laboratories, Inc. Clinical Laboratory · San Luis Obispo, CA	317	697
HIGA, NOLAN	65	120
Deborah Cherry Internal Medicine · San Luis Obispo, CA	31	74
KLOSTERMAN, PAUL	28	52
Robert Herten Dermatology · San Luis Obispo, CA	27	42
Magnetic Resonance Imaging Of San Luis Obispo, Inc. Independent Diagnostic Testing Facility (IDTF) · San Luis Obispo, CA	26	47
Pacific Diagnostic Laboratories Clinical Laboratory · Santa Barbara, CA	24	56
WIELER, LISA	22	41
CORBETT, HARRY	20	30
NPI 1235185497	20	29
Mark Sherman Ophthalmology · San Luis Obispo, CA	19	35
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC	18	35

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