PROVIDER PROFILE · NPI 1982601225

Brian HigginsDO

PRACTICEGWELLA RHEUMATOLOGY LLCSee all providers at this practice →

Physical Medicine and RehabilitationLancaster, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

317

Unique beneficiaries

—

Total services

435

Distinct HCPCS

Medicare payment

$36K

Peer benchmark

Total Medicare services vs. 309 Physical Medicine and Rehabilitation providers in OH — below median (cohort median 1,105).

PRESCRIBING · PART D · 2024

Total Rx claims

2,965

Beneficiaries

—

Total drug cost

$73K

Distinct drugs

Brand share

27.5%

Top prescribed drugs

Gabapentin615 claims

Oxycodone Hcl/Acetaminophen407 claims

Hydrocodone/Acetaminophen257 claims

Pregabalin192 claims

Tramadol Hcl191 claims

QUALITY · MIPS · 2024

Final MIPS score

77.0

Quality

43.4

Cost

76.5

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.08%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$92

Payment records

By payment type

Food and Beverage$92

REFERRAL NETWORK

Where Brian Higgins'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
FAIRFIELD MEDICAL CENTER	116	393
ROCKMILL CARE, LLC	26	56
HOCKING VALLEY COMMUNITY HOSPITAL	21	115
Brian Buck Physician Assistant · Lancaster, OH	21	41
Frank Meszaros Physical Medicine and Rehabilitation · Lancaster, OH	21	28
LIFE MEDICAL RESPONSE, INC.	20	102
Michelle Graham Family Practice · Lancaster, OH	15	90
NPI 1205801099	14	30
Alice Moneypenny Physical Therapist in Private Practice · Hilton Head Island, SC	14	140
David Passerini Diagnostic Radiology · Columbus, OH	13	20
Francis Castellano Diagnostic Radiology · Chapel Hill, NC	13	18
Andrew Burke Diagnostic Radiology · Lakewood, CO	11	14

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