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PROVIDER PROFILE · NPI 1851545677

Joshua HicksM.D.

OphthalmologyBristol, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,471
Unique beneficiaries
—
Total services
3,070
Distinct HCPCS
20
Medicare payment
$335K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 326 Ophthalmology providers in TN — above median (cohort median 2,504).
PRESCRIBING · PART D · 2024
Total Rx claims
4,734
Beneficiaries
—
Total drug cost
$206K
Distinct drugs
22
Brand share
43.9%
Top prescribed drugs
Moxifloxacin Hcl972 claims
Ketorolac Tromethamine858 claims
Prednisolone Acetate834 claims
Latanoprost595 claims
Erythromycin Base416 claims
REFERRAL NETWORK

Where Joshua Hicks'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). 24 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Mountain Empire Cataract & Eye Surgery Center
Ambulatory Surgical Center · Bristol, TN
2821,210
Lynn Couch
Certified Registered Nurse Anesthetist (CRNA) · Bristol, TN
196693
WELLMONT HEALTH SYSTEM123239
SOLSTAS LAB PARTNERS GROUP LLC98385
Anita Keene
Optometry · Marion, VA
57201
JOHNSTON MEMORIAL HOSPITAL, INC42113
Lucas Spiker
Optometry · Marion, VA
39135
Mary King
Certified Registered Nurse Anesthetist (CRNA) · Bristol, TN
3385
SMYTH COUNTY COMMUNITY HOSPITAL25127
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
1634
JOHNSTONE, WILLIAM1629
Terence Casey
Pathology · New Orleans, LA
1528
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.
QUALITY · MIPS · 2024
Final MIPS score
97.2
Quality
94.4
Cost
76.2
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.93%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$446
Payment records
21
By payment type
Food and Beverage$446