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PROVIDER PROFILE · NPI 1790904951

Paul WooldridgeM.D.

Diagnostic RadiologyKnoxville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
33
Beneficiaries
—
Total drug cost
$99
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Fluoxetine Hcl21 claims
Pantoprazole Sodium12 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,622
Unique beneficiaries
—
Total services
3,743
Distinct HCPCS
47
Medicare payment
$91K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 698 Diagnostic Radiology providers in TN — above median (cohort median 3,582).
REFERRAL NETWORK

Where Paul Wooldridge'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). 175 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LAKE CUMBERLAND REGIONAL HOSPITAL LLC8621,649
Steven Eberly
Diagnostic Radiology · Somerset, KY
7702,210
William Baker
Diagnostic Radiology · Somerset, KY
7562,282
Michael Mckinney
Cardiology · Somerset, KY
373983
Edward Grimball
Emergency Medicine · Somerset, KY
3531,290
Kolan Wright
Family Practice · Albuquerque, NM
310701
Mohammad Yusuf
Emergency Medicine · London, KY
293648
Timothy Ziolkowski
Emergency Medicine · Louisville, KY
283729
Sandra Schuldheisz
Pulmonary Disease · Somerset, KY
222596
Joseph Weigel
Internal Medicine · Somerset, KY
220412
Cara Busler
Physician Assistant · Lexington, KY
214341
Scott Stephens
Hospitalist · Somerset, KY
192698
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.