PROVIDER PROFILE · NPI 1760460570

Michael HigginsM.D.

PRACTICETIDEWATER ORTHOPAEDIC ASSOCIATESSee all providers at this practice →

Orthopedic SurgeryHampton, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,738

Unique beneficiaries

—

Total services

14,373

Distinct HCPCS

Medicare payment

$341K

Peer benchmark

Total Medicare services vs. 549 Orthopedic Surgery providers in VA — top quintile (cohort median 1,809).

PRESCRIBING · PART D · 2024

Total Rx claims

436

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

3.7%

Top prescribed drugs

Meloxicam174 claims

Cephalexin141 claims

Methylprednisolone65 claims

Amoxicillin23 claims

Diclofenac Sodium17 claims

QUALITY · MIPS · 2024

Final MIPS score

94.1

Quality

91.9

Cost

90.9

Improvement activities

40.0

Promoting interop.

97.0

Payment adjustment

0.80%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$288

REFERRAL NETWORK

Where Michael Higgins'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). 43 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SENTARA HOSPITALS	379	1,814
RIVERSIDE HOSPITAL INC	124	419
SENTARA HOSPITALS	64	141
SENTARA ENTERPRISES	60	145
MONTILEONE, MICHAEL	54	233
DAVIS, IVAN	54	181
City Of Hampton Virginia Ambulance Service Provider · Hampton, VA	52	174
Edward Trapani Diagnostic Radiology · Columbia, MD	43	97
William Ritchie Diagnostic Radiology · Hampton, VA	42	109
GRAY, LAURA	40	325
Steven Hall Diagnostic Radiology · Hampton, VA	40	123
Bennie Skinner Diagnostic Radiology · Hampton, VA	33	80

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