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PROVIDER PROFILE · NPI 1659552511

Karen GaffordPA

PRACTICEWESTERN REGIONAL MEDICAL CENTER INCSee all providers at this practice →
Physician AssistantGoodyear, AZI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,060
Unique beneficiaries
—
Total services
1,235
Distinct HCPCS
19
Medicare payment
$80K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,639 Physician Assistant providers in AZ — top quintile (cohort median 341).
PRESCRIBING · PART D · 2024
Total Rx claims
210
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
5
Brand share
0.0%
Top prescribed drugs
Triamcinolone Acetonide66 claims
Ketoconazole45 claims
Clobetasol Propionate43 claims
Hydrocortisone32 claims
Mupirocin24 claims
QUALITY · MIPS · 2024
Final MIPS score
78.5
Quality
66.1
Cost
58.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.15%
Group
REFERRAL NETWORK

Where Karen Gafford'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Bonnie Nowak
Internal Medicine · Fort Collins, CO
114482
VIRANT, PRISCILLA33117
Samuel Fuller
Diagnostic Radiology · Greeley, CO
2141
SUMMIT PATHOLOGY2034
Tristan Dow
Cardiology · Fort Collins, CO
1935
Wendy Austin
Cardiology · Fort Collins, CO
1931
Kevin Limbaugh
Diagnostic Radiology · Fort Collins, CO
1423
Andrew Mills
Diagnostic Radiology · Fort Collins, CO
1429
Gregory Beyer
Diagnostic Radiology · Omaha, NE
1324
Charles Johnson
Clinical Cardiac Electrophysiology · Fort Collins, CO
1230
CRAVEN, WINFIELD1219
Harmony Surgery Center, Llc
Ambulatory Surgical Center · Fort Collins, CO
1222
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$502
Payment records
11
By payment type
Food and Beverage$402
Education$100