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PROVIDER PROFILE · NPI 1891747853

Kenneth JusticeMD

Family PracticeSevierville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
96.5
Quality
86.2
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.90%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$818
Payment records
43
By payment type
Food and Beverage$738
Education$80
Top paying entities
Food and Beverage$738
Education$80
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
358
Unique beneficiaries
—
Total services
695
Distinct HCPCS
4
Medicare payment
$50K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,574 Family Practice providers in TN — below median (cohort median 965).
PRESCRIBING · PART D · 2024
Total Rx claims
6,045
Beneficiaries
—
Total drug cost
$992K
Distinct drugs
94
Brand share
21.3%
Top prescribed drugs
Rosuvastatin Calcium553 claims
Levothyroxine Sodium323 claims
Atorvastatin Calcium322 claims
Lisinopril310 claims
Amlodipine Besylate308 claims
REFERRAL NETWORK

Where Kenneth Justice'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Daniel Mays
Physician Assistant · Clinton, TN
2048
Robert Santee
Diagnostic Radiology · Knoxville, TN
1529
NPI 12453243671535
Roger Riedel
Interventional Cardiology · Sevierville, TN
1534
Jeffrey Peeke
Diagnostic Radiology · Knoxville, TN
1330
Steven Knight
Diagnostic Radiology · Knoxville, TN
1222
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.