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PROVIDER PROFILE · NPI 1013011394

James HensoldM.D.

Family PracticeWashington, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 147241
Home health agency
CCN 140013
Hospital
CCN 140067
Hospital
CCN 140120
Hospital
CCN 140209
Hospital
CCN 141309
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
6,744
Beneficiaries
—
Total drug cost
$536K
Distinct drugs
133
Brand share
20.4%
Top prescribed drugs
Atorvastatin Calcium419 claims
Lisinopril318 claims
Levothyroxine Sodium294 claims
Losartan Potassium196 claims
Amlodipine Besylate194 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,044
Unique beneficiaries
—
Total services
1,606
Distinct HCPCS
9
Medicare payment
$85K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,221 Family Practice providers in IL — top quintile (cohort median 556).
REFERRAL NETWORK

Where James Hensold'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). 18 inbound referrers · 30 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
METHODIST MEDICAL CENTER OF ILLINOIS2481,679
CHRISTIAN HOMES, INC.58300
SAINT FRANCIS MEDICAL CENTER40152
PROCTOR COMMUNITY HOSPITAL34133
Washington Volunteer Fire Department And Rescue Squad Inc
Ambulance Service Provider · Washington, IL
24106
PATTEKAR, MANDAR2382
James Mcgee
Diagnostic Radiology · Chicago, IL
1885
Amy Davis
Nurse Practitioner · Peoria, IL
1684
Garima Agrawal
Nuclear Medicine · Saint Louis, MO
1536
Behrang Khoie
Diagnostic Radiology · Urbana, IL
1557
George Gentry
Diagnostic Radiology · Peoria, IL
1457
Pawan Sarda
Cardiology · Monroe, NC
1363
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
METHODIST MEDICAL CENTER OF ILLINOIS2832,341
CHRISTIAN HOMES, INC.59373
SAINT FRANCIS MEDICAL CENTER39139
YOUNG, CARTER3797
PROCTOR COMMUNITY HOSPITAL34113
Rachel Grieder
Podiatry · Peoria, IL
33246
Daniel Hurst
Diagnostic Radiology · Peoria, IL
2668
Washington Volunteer Fire Department And Rescue Squad Inc
Ambulance Service Provider · Washington, IL
2585
METHODIST MEDICAL CENTER OF ILLINOIS2282
PATTEKAR, MANDAR2257
Amy Davis
Nurse Practitioner · Peoria, IL
2182
Matthew Kuhn
Diagnostic Radiology · Springfield, IL
2153
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.