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PROVIDER PROFILE · NPI 1730162231

Thomas CleggMD

OtolaryngologyKingwood, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
474
Unique beneficiaries
—
Total services
675
Distinct HCPCS
8
Medicare payment
$37K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 668 Otolaryngology providers in TX — below median (cohort median 967).
REFERRAL NETWORK

Where Thomas Clegg'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). 11 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
74215
YOM, SUN2158
MEMORIAL HERMANN HEALTH SYSTEM1930
PENN IMAGING OF HUMBLE, LP1622
Edward Baptista
Cardiology · Humble, TX
1542
Puneet Shroff
Allergy/ Immunology · Tucson, AZ
15118
Walter Moore
Otolaryngology · Bismarck, ND
1549
Vivek Bansal
Diagnostic Radiology · Houston, TX
1328
Hai Dang
Diagnostic Radiology · Columbus, TX
1333
Gnananandh Jayaraman
Pulmonary Disease · Kingwood, TX
1142
Chirag Parghi
Diagnostic Radiology · Spring, TX
1123
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
370
Beneficiaries
—
Total drug cost
$9K
Distinct drugs
11
Brand share
15.7%
Top prescribed drugs
Ipratropium Bromide80 claims
Fluticasone Propionate62 claims
Azelastine Hcl54 claims
Montelukast Sodium36 claims
Amoxicillin/Potassium Clav29 claims
QUALITY · MIPS · 2024
Final MIPS score
75.5
Quality
64.9
Cost
75.9
Improvement activities
40.0
Promoting interop.
73.0
Payment adjustment
0.02%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$969
Payment records
28
By payment type
Food and Beverage$969
Top paying entities
Food and Beverage$969