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PROVIDER PROFILE · NPI 1043206188

James SiminskiM.D.

Pulmonary DiseaseHurst, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450639
Hospital
REFERRAL NETWORK

Where James Siminski'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). 39 inbound referrers · 78 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD121287
WASHINGTON, DONALD63192
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
62145
Lance Driskill
Diagnostic Radiology · Plano, TX
2879
Zi Yin
Diagnostic Radiology · Fort Worth, TX
2688
Health Imaging Partners, Llc
Independent Diagnostic Testing Facility (IDTF) · Bedford, TX
2439
Mehul Patel
Internal Medicine · Bedford, TX
23122
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
2230
Qian Oliver
Diagnostic Radiology · Fort Worth, TX
2159
Samuel Nussbaumer
Interventional Cardiology · Bedford, TX
2077
Michael Harding
Diagnostic Radiology · Fort Worth, TX
2047
John Kim
Diagnostic Radiology · Seattle, WA
1952
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD94208
Gary Jones
Pulmonary Disease · Dallas, TX
74144
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
70196
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
62144
COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP50113
WASHINGTON, DONALD50102
Texas Health Physicians Group
Clinical Laboratory · Euless, TX
47117
HERRMANN, DAVID4699
Robert Cash
Pulmonary Disease · Arlington, TX
3795
Lance Driskill
Diagnostic Radiology · Plano, TX
3687
Mehul Patel
Internal Medicine · Bedford, TX
25155
MITCHELL, MICHAEL2454
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
377
Unique beneficiaries
—
Total services
413
Distinct HCPCS
8
Medicare payment
$92K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 664 Pulmonary Disease providers in TX — below median (cohort median 1,111).
PRESCRIBING · PART D · 2024
Total Rx claims
700
Beneficiaries
—
Total drug cost
$213K
Distinct drugs
17
Brand share
58.6%
Top prescribed drugs
Montelukast Sodium113 claims
Fluticasone/Umeclidin/Vilanter96 claims
Albuterol Sulfate95 claims
Tiotropium Bromide57 claims
Prednisone46 claims
QUALITY · MIPS · 2024
Final MIPS score
92.3
Quality
18.5
Cost
75.9
Improvement activities
40.0
Promoting interop.
85.0
Payment adjustment
0.73%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$462
Payment records
22
By payment type
Food and Beverage$462