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PROVIDER PROFILE · NPI 1649243643

John HeffernanM.D.

UrologyNewport, RII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,105
Unique beneficiaries
—
Total services
2,670
Distinct HCPCS
22
Medicare payment
$164K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 42 Urology providers in RI — top quintile (cohort median 1,421).
REFERRAL NETWORK

Where John Heffernan'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). 51 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NEWPORT HOSPITAL193620
Arnold Sarazen
Urology · Newport, RI
64177
John Dreslin
Urology · Berlin, VT
61175
THE MIRIAM HOSPITAL60152
SOUTH COUNTY INTERNAL MEDICINE, INC.53144
Joseph Heineman
Urology · Newport, RI
47125
BLACK, RICHARD46117
Jason Vachon
Diagnostic Radiology · Newport, RI
4086
Jeffrey Houston
Diagnostic Radiology · Newport, RI
4091
LAKEWOOD PATHOLOGY ASSOCIATES, INC.3670
SOUTHCOAST HOSPITALS GROUP, INC3587
Scott Cameron
Diagnostic Radiology · Boston, MA
3364
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
4,848
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
48
Brand share
23.7%
Top prescribed drugs
Finasteride1,034 claims
Tamsulosin Hcl1,025 claims
Methenamine Hippurate341 claims
Vibegron217 claims
Testosterone Cypionate192 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
50
By payment type
Food and Beverage$1K
Education$99