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PROVIDER PROFILE · NPI 1992705362

Karl HeinssMD

HospitalistCorbin, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
94.3
Quality
87.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.81%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
13
Beneficiaries
—
Total drug cost
$28
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Gabapentin13 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Karl Heinss'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). 30 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Lonnie Bargo
Diagnostic Radiology · Corbin, KY
166957
Pramod Reddy
Cardiology · Corbin, KY
1491,039
Johnny Hammons
Hospitalist · Corbin, KY
79574
Ray Hays
Family Practice · Corbin, KY
71351
Whitley County County Treasurer
Ambulance Service Provider · Williamsburg, KY
66372
Bryan Curd
Internal Medicine · Corbin, KY
55196
Melissa Haddix
Family Practice · Corbin, KY
53236
Wajdi Kfoury
Infectious Disease · Corbin, KY
44567
Ashutosh Lohe
Nephrology · Barbourville, KY
43305
Carlos Drago Ludowieg
Cardiology · Albany, GA
29129
Imtiaz Hussain
Pulmonary Disease · South Williamson, KY
29198
Syed Hasni
Nephrology · Barbourville, KY
24149
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
276
Unique beneficiaries
—
Total services
590
Distinct HCPCS
5
Medicare payment
$36K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 254 Hospitalist providers in KY — above median (cohort median 574).