PROVIDER PROFILE · NPI 1619942265

Theresa ClaytonMD

OphthalmologyVancouver, WAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,424

Unique beneficiaries

—

Total services

1,636

Distinct HCPCS

Medicare payment

$124K

Peer benchmark

Total Medicare services vs. 373 Ophthalmology providers in WA — below median (cohort median 2,090).

PRESCRIBING · PART D · 2024

Total Rx claims

2,800

Beneficiaries

—

Total drug cost

$139K

Distinct drugs

Brand share

21.1%

Top prescribed drugs

Latanoprost1,373 claims

Timolol Maleate531 claims

Dorzolamide Hcl/Timolol Maleat236 claims

Brimonidine Tartrate/Timolol88 claims

Erythromycin Base84 claims

QUALITY · MIPS · 2024

Final MIPS score

90.5

Quality

100.0

Cost

77.4

Improvement activities

40.0

Promoting interop.

89.0

Payment adjustment

0.65%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$145

Payment records

By payment type

Food and Beverage$145

REFERRAL NETWORK

Where Theresa Clayton'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). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PEACEHEALTH SOUTHWEST MEDICAL CENTER	43	101
PEACEHEALTH SOUTHWEST MEDICAL CENTER	23	40
Matthew Lail Certified Registered Nurse Anesthetist (CRNA) · Vancouver, WA	14	25

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