PROVIDER PROFILE · NPI 1891758850

Mark MoultonM.D.

Orthopedic SurgeryMuskegon, MII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

819

Unique beneficiaries

—

Total services

1,659

Distinct HCPCS

Medicare payment

$134K

Peer benchmark

Total Medicare services vs. 680 Orthopedic Surgery providers in MI — above median (cohort median 907).

PRESCRIBING · PART D · 2024

Total Rx claims

3,052

Beneficiaries

—

Total drug cost

$37K

Distinct drugs

Brand share

19.1%

Top prescribed drugs

Celecoxib960 claims

Pregabalin861 claims

Hydrocodone/Acetaminophen428 claims

Gabapentin237 claims

Oxycodone Hcl/Acetaminophen140 claims

QUALITY · MIPS · 2024

Final MIPS score

97.8

Quality

100.0

Cost

96.3

Improvement activities

40.0

Promoting interop.

91.0

Payment adjustment

0.96%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$411

Payment records

By payment type

Food and Beverage$411

REFERRAL NETWORK

Where Mark Moulton'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). 44 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1225066327	352	1,446
MERCY PHYSICIAN NETWORK	235	716
WILSON, ANTHONY	57	104
Edward Sara Diagnostic Radiology · Indianapolis, IN	51	110
SPECTRUM HEALTH PRIMARY CARE PARTNERS	48	144
John Strainer Diagnostic Radiology · Muskegon, MI	48	93
John Stephenson Diagnostic Radiology · Farmington Hills, MI	47	91
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION	41	169
Reginald Kapteyn Plastic and Reconstructive Surgery · Muskegon, MI	41	110
FLES, ROBERT	40	80
Richard Wilcox Diagnostic Radiology · Muskegon, MI	39	63
Lawrence Mallon Vascular Surgery · Muskegon, MI	37	125

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