PROVIDER PROFILE · NPI 1699775718

Lee CongletonM.D.

UrologyPowell, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,216

Unique beneficiaries

—

Total services

14,358

Distinct HCPCS

Medicare payment

$293K

Peer benchmark

Total Medicare services vs. 197 Urology providers in TN — top quintile (cohort median 4,616).

PRESCRIBING · PART D · 2024

Total Rx claims

4,388

Beneficiaries

—

Total drug cost

$1.8M

Distinct drugs

Brand share

53.5%

Top prescribed drugs

Alfuzosin Hcl1,347 claims

Tamsulosin Hcl695 claims

Finasteride486 claims

Oxybutynin Chloride302 claims

Solifenacin Succinate226 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

14.3

Cost

85.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$878

Payment records

By payment type

Food and Beverage$878

REFERRAL NETWORK

Where Lee Congleton'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). 24 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Joseph Eatherly Pathology · Oak Ridge, TN	186	381
PARKWEST MEDICAL CENTER	136	415
METRO KNOXVILLE HMA LLC	133	456
Rural/Metro Of Tennessee, L.P. Ambulance Service Provider · Knoxville, TN	31	117
Christopher Ramsey Urology · Powell, TN	25	66
NICELY, ERIC	21	49
Laura Price Nurse Practitioner · Knoxville, TN	17	55
David Cox Internal Medicine · Powell, TN	17	50
John Texada Diagnostic Radiology · Knoxville, TN	16	31
Daryl Harp Diagnostic Radiology · Knoxville, TN	16	35
Krista Hodges Physician Assistant · Knoxville, TN	15	40
Antonio Ramos Internal Medicine · Knoxville, TN	14	77

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