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PROVIDER PROFILE · NPI 1619978327

Robert ThomasMD

General SurgeryMiddlesboro, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
30
Unique beneficiaries
—
Total services
30
Distinct HCPCS
2
Medicare payment
$3K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 331 General Surgery providers in KY — bottom quintile (cohort median 337).
REFERRAL NETWORK

Where Robert Thomas'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). 19 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Joseph Slusher
Diagnostic Radiology · Middlesboro, KY
89474
Shayna Tomchin
Pathology · Portsmouth, OH
83298
HUGHES, ROBERT43130
City Of Middlesboro
Ambulance Service Provider · Middlesboro, KY
38203
Charles Moore
Internal Medicine · Middlesboro, KY
33260
Korrapati Reddy
Emergency Medicine · Perth Amboy, NJ
32101
Neil Barry
Internal Medicine · Middlesboro, KY
28402
Thomas Epperson
Internal Medicine · Middlesboro, KY
28383
Nitinkumar Patel
Internal Medicine · Middlesboro, KY
28215
James Adams
Family Practice · London, KY
2388
Aruna Polsani
Diagnostic Radiology · Saint Johns, FL
2247
Rachel Davidson
Certified Registered Nurse Anesthetist (CRNA) · Vestavia, AL
1854
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
54
Beneficiaries
—
Total drug cost
$291
Distinct drugs
3
Brand share
46.3%
Top prescribed drugs
Hydrocodone/Acetaminophen25 claims
Pantoprazole Sodium18 claims
Omeprazole11 claims
QUALITY · MIPS · 2024
Final MIPS score
83.6
Quality
50.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.36%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$9K
Payment records
19
By payment type
Education$7K
Travel and Lodging$1K
Food and Beverage$543
Gift$9