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PROVIDER PROFILE · NPI 1033438825

James HugheyD.O.

PRACTICEMAMM ENTERPRISES, LLCSee all providers at this practice →
Orthopedic SurgeryHuntsville, ALI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 017119
Home health agency
CCN 010005
Hospital
CCN 010039
Hospital
QUALITY · MIPS · 2024
Final MIPS score
78.3
Quality
60.5
Cost
73.9
Improvement activities
40.0
Promoting interop.
92.0
Payment adjustment
0.14%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
850
Beneficiaries
—
Total drug cost
$6K
Distinct drugs
13
Brand share
17.9%
Top prescribed drugs
Oxycodone Hcl168 claims
Hydrocodone/Acetaminophen130 claims
Cyclobenzaprine Hcl108 claims
Meloxicam100 claims
Ondansetron Hcl77 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,995
Unique beneficiaries
—
Total services
6,315
Distinct HCPCS
23
Medicare payment
$188K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 334 Orthopedic Surgery providers in AL — top quintile (cohort median 2,095).
REFERRAL NETWORK

Where James Hughey'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). 9 inbound referrers · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE136360
CRESTWOOD HEALTHCARE LP3561
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
2642
HUNTSVILLE EMERGENCY MEDICAL SERVICES, INC.1527
Insight Imaging, Inc
Independent Diagnostic Testing Facility (IDTF) · Huntsville, AL
1216
Gregory Tucker
Diagnostic Radiology · Huntsville, AL
1216
John Collins
Diagnostic Radiology · Huntsville, AL
1119
Iqbal Saeed
Internal Medicine · Huntsville, AL
1126
MARSHALL MEDICAL CENTER SOUTH1130
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE157424
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
2248
CRESTWOOD HEALTHCARE LP2140
HUNTSVILLE EMERGENCY MEDICAL SERVICES, INC.1635
Michael Smith
Diagnostic Radiology · Huntsville, AL
1224
Shi-Chi Cheng
Cardiology · Huntsville, AL
1127
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$231
Payment records
2
By payment type
Food and Beverage$231