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PROVIDER PROFILE · NPI 1760595243

Milton CalimaM.D.

Physical Medicine and RehabilitationPikeville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
92.7
Quality
81.5
Cost
81.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.74%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
190
Beneficiaries
—
Total drug cost
$8K
Distinct drugs
9
Brand share
18.4%
Top prescribed drugs
Pantoprazole Sodium46 claims
Famotidine44 claims
Atorvastatin Calcium24 claims
Tamsulosin Hcl15 claims
Amlodipine Besylate14 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$208
Payment records
12
By payment type
Food and Beverage$208
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
204
Unique beneficiaries
—
Total services
673
Distinct HCPCS
3
Medicare payment
$41K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 91 Physical Medicine and Rehabilitation providers in KY — below median (cohort median 870).
REFERRAL NETWORK

Where Milton Calima'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). 46 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PIKEVILLE MEDICAL CENTER INC2302,420
PIKEVILLE MEDICAL CENTER INC2101,894
HALBERT, DENNIS1241,743
Garrick Sherman
Diagnostic Radiology · Ashland, KY
1141,737
William Kendall
Diagnostic Radiology · Pikeville, KY
1111,459
Bradley Wells
Diagnostic Radiology · Pikeville, KY
1061,461
NPI 1063520849961,260
PIKEVILLE MEDICAL CENTER INC44108
John Watson
Internal Medicine · Pikeville, KY
37703
Jamie Bartley
Hospitalist · Kingsport, TN
34563
Benjamin Kiser
Nurse Practitioner · Jenkins, KY
28525
Waqas Ahmed
Cardiology · Orwigsburg, PA
27276
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.