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PROVIDER PROFILE · NPI 1619053659

Robert HigginsonP.A.

Physician AssistantRichmond, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
84.0
Quality
69.9
Cost
77.4
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.38%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$12K
Payment records
30
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$9K
Travel and Lodging$3K
Food and Beverage$970
REFERRAL NETWORK

Where Robert Higginson'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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY71297
Veronica Ayala-Sims
Internal Medicine · Richmond, VA
3253
Gonzalo Bearman
Infectious Disease · Richmond, VA
2737
Daniel Nixon
Infectious Disease · Richmond, VA
2543
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
3,141
Beneficiaries
—
Total drug cost
$5.5M
Distinct drugs
70
Brand share
60.5%
Top prescribed drugs
Bictegrav/Emtricit/Tenofov Ala578 claims
Dolutegravir Sodium317 claims
Darunavir/Cob/Emtri/Tenof Alaf147 claims
Darunavir/Cobicistat141 claims
Emtricitabine/Tenofov Alafenam139 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
69
Unique beneficiaries
—
Total services
89
Distinct HCPCS
2
Medicare payment
$3K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,062 Physician Assistant providers in VA — bottom quintile (cohort median 318).