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PROVIDER PROFILE · NPI 1982640009

Richard HughesMD

Pulmonary DiseaseOak Ridge, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
24.4
Quality
0.0
Cost
81.3
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.07%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
3,336
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
21
Brand share
83.2%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter616 claims
Albuterol Sulfate591 claims
Montelukast Sodium293 claims
Fluticasone/Vilanterol286 claims
Fluticasone Propion/Salmeterol286 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,260
Unique beneficiaries
—
Total services
4,817
Distinct HCPCS
17
Medicare payment
$115K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 254 Pulmonary Disease providers in TN — top quintile (cohort median 889).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Richard Hughes'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). 25 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Thomas Lemond
Diagnostic Radiology · Oak Ridge, TN
59143
MCLAUGHLIN, VICTOR42105
Robert Rausch
Diagnostic Radiology · Florence, AL
4086
METRO KNOXVILLE HMA LLC3376
PARKWEST MEDICAL CENTER3066
LAWSON, MAX2667
Mukesh Sharma
Cardiology · Knoxville, TN
2683
Brandy Reynolds
Nurse Practitioner · Oak Ridge, TN
2553
GURECKI, PAUL2345
James Eppert
Emergency Medicine · Oak Ridge, TN
2236
Rakesh Vohra
Cardiology · Oak Ridge, TN
2256
Ka Fung
Hospitalist · Easley, SC
1980
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.