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PROVIDER PROFILE · NPI 1942321427

Michael GainesMD

PRACTICEORTHOPEDIC CENTER PCSee all providers at this practice →
Orthopedic SurgerySavannah, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
733
Unique beneficiaries
—
Total services
1,365
Distinct HCPCS
15
Medicare payment
$45K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 640 Orthopedic Surgery providers in GA — below median (cohort median 2,020).
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
REFERRAL NETWORK

Where Michael Gaines'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). 20 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
EAST GEORGIA REGIONAL MEDICAL CENTER, LLC107396
JENKINS COUNTY HOSPITAL LLC61352
Burton Goodwin
Diagnostic Radiology · Macon, GA
58236
Elizabeth Donaldson
Physician Assistant · Augusta, GA
43176
SCREVEN COUNTY HOSPITAL LLC41234
HOSPITAL AUTHORITY OF WASHINGTON COUNTY29133
Heywood Gay
Internal Medicine · Millen, GA
22241
Prakul Chandra
Family Practice · Millen, GA
1780
Ajay Jain
Cardiology · Statesboro, GA
1788
Lisa Robinson
Pulmonary Disease · Johnson City, TN
1765
Carl Scott
Internal Medicine · Statesboro, GA
1655
Mark Sison
Physical Medicine and Rehabilitation · Fresno, CA
1544
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
209
Beneficiaries
—
Total drug cost
$7K
Distinct drugs
7
Brand share
35.9%
Top prescribed drugs
Diclofenac Sodium47 claims
Hydrocodone/Acetaminophen41 claims
Oxycodone Hcl/Acetaminophen34 claims
Methylprednisolone32 claims
Meloxicam21 claims