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PROVIDER PROFILE · NPI 1720081961

Marc MichelsonM.D.

PRACTICEALABAMA EYE & CATARACT CENTER PCSee all providers at this practice →
OphthalmologyBirmingham, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
90.5
Quality
95.0
Cost
75.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.65%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,233
Beneficiaries
—
Total drug cost
$112K
Distinct drugs
15
Brand share
18.4%
Top prescribed drugs
Latanoprost254 claims
Ketorolac Tromethamine248 claims
Ofloxacin204 claims
Prednisolone Acetate187 claims
Dorzolamide Hcl/Timolol Maleat107 claims
REFERRAL NETWORK

Where Marc Michelson'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Birmingham Outpatient Surgery Center Ltd
Ambulatory Surgical Center · Birmingham, AL
57115
UNIVERSITY OF ALABAMA AT BIRMINGHAM4295
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3153
Tyler Hall
Ophthalmology · Birmingham, AL
2380
Robert Morris
Ophthalmology · Birmingham, AL
1537
SOLSTAS LAB PARTNERS GROUP LLC1222
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
$3K
Payment records
42
By payment type
Travel and Lodging$1K
Food and Beverage$1K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
767
Unique beneficiaries
—
Total services
1,040
Distinct HCPCS
9
Medicare payment
$96K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 191 Ophthalmology providers in AL — below median (cohort median 1,895).