PROVIDER PROFILE · NPI 1922086131

Andrew BillonM.D.

PRACTICEDIAMOND DRUGS, INC.See all providers at this practice →

General SurgeryIndiana, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

118

Unique beneficiaries

—

Total services

129

Distinct HCPCS

Medicare payment

$11K

Peer benchmark

Total Medicare services vs. 1,055 General Surgery providers in PA — below median (cohort median 277).

PRESCRIBING · PART D · 2024

Total Rx claims

485

Beneficiaries

—

Total drug cost

$15K

Distinct drugs

Brand share

35.3%

Top prescribed drugs

Pantoprazole Sodium272 claims

Sodium Chloride/Nahco3/Kcl/Peg119 claims

Sod Picosulf/Mag Ox/Citric Ac22 claims

Sucralfate20 claims

Peg3350/Sod Sulf,bicarb,cl/Kcl18 claims

QUALITY · MIPS · 2024

Final MIPS score

93.9

Quality

85.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$64K

Payment records

By payment type

Royalty or License$44K

Consulting Fee$21K

Food and Beverage$136

REFERRAL NETWORK

Where Andrew Billon'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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
INDIANA REGIONAL MEDICAL CENTER	170	666
Lijia Chen Diagnostic Radiology · Boston, MA	32	79
Indiana Ambulatory Surgical Associates, Inc Ambulatory Surgical Center · Indiana, PA	28	55
Mark Henck Diagnostic Radiology · Indiana, PA	24	61
MACCHIAROLI, JOSEPH	23	55
DLP CONEMAUGH MINERS MEDICAL CENTER LLC	18	128
Matthew Nettleton Internal Medicine · Blairsville, PA	15	37
Jongwon Lee Diagnostic Radiology · Indiana, PA	14	26
Gopala Ramineni Medical Oncology · Indiana, PA	13	56
UPMC EAST	12	26
HARSTER, GERALD	11	24
AMBROSE, JOSEPH	11	21

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