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PROVIDER PROFILE · NPI 1992099600

Michael PhillipsMD

Emergency MedicineHarpers Ferry, WVI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Michael Phillips'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
PhysicianPatientsVisits
CITY HOSPITAL, INC302829
Dimitri Misailidis
Diagnostic Radiology · Martinsburg, WV
86165
John Blanco
Diagnostic Radiology · Martinsburg, WV
61123
Sanjay Saluja
Diagnostic Radiology · Roseville, MN
59115
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.3079
City Of Martinsburg
Ambulance Service Provider · Martinsburg, WV
2450
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
2058
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1656
Michael Londner
Emergency Medicine · Leesburg, VA
1456
Kolawale Oshiyoye
Hospitalist · Martinsburg, WV
1420
Angela Ropka
Physician Assistant · Carlisle, PA
1318
Seth Kingree
Internal Medicine · Martinsburg, WV
1213
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.
PRESCRIBING · PART D · 2024
Total Rx claims
94
Beneficiaries
—
Total drug cost
$224
Distinct drugs
4
Brand share
19.1%
Top prescribed drugs
Prednisone43 claims
Diclofenac Sodium22 claims
Hydrocodone/Acetaminophen18 claims
Diazepam11 claims
QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
79.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.86%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$27
Payment records
1
By payment type
Food and Beverage$27
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
100
Unique beneficiaries
—
Total services
104
Distinct HCPCS
3
Medicare payment
$5K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 292 Emergency Medicine providers in WV — bottom quintile (cohort median 339).