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PROVIDER PROFILE · NPI 1013908979

James KellyMD

PRACTICEMARK A. SCHRUMPF MD A PROFESSIONAL CORPORATIONSee all providers at this practice →
Orthopedic SurgerySan Francisco, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 050008
Hospital
CCN 050009
Hospital
CCN 050055
Hospital
CCN 050090
Hospital
CCN 050131
Hospital
REFERRAL NETWORK

Where James Kelly'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). 2 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CASAGRANDE, DANIELLE2237
MARIN GENERAL HOSPITAL1332
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SUTTER BAY HOSPITALS104438
CASAGRANDE, DANIELLE32125
Samuel Harmsen
Orthopedic Surgery · Phoenix, AZ
1971
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO1732
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
1641
Presidio Surgery Center, Llc
Ambulatory Surgical Center · San Francisco, CA
1646
MARIN GENERAL HOSPITAL1529
OSHITA, ALLEN1227
Unilab Corporation
Clinical Laboratory · Sacramento, CA
1223
William Harvey
Diagnostic Radiology · San Francisco, CA
1128
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC1138
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
1,584
Unique beneficiaries
—
Total services
2,591
Distinct HCPCS
13
Medicare payment
$225K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,921 Orthopedic Surgery providers in CA — top quintile (cohort median 1,100).
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
83.8
Quality
90.5
Cost
75.6
Improvement activities
40.0
Promoting interop.
76.0
Payment adjustment
0.37%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$12K
Payment records
23
By payment type
Consulting Fee$8K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K
Food and Beverage$903