What is Theresa Clayton's specialty?

Theresa Clayton (NPI 1619942265) is a Medicare-billing provider whose primary specialty is Ophthalmology in Vancouver, WA.

Where does Theresa Clayton practice?

Theresa Clayton practices in Vancouver, WA, based on the location reported in the CMS Medicare provider datasets for NPI 1619942265.

How much does Medicare pay Theresa Clayton?

Theresa Clayton (NPI 1619942265) received approximately $134K in total Medicare Part B payments, serving 538 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events