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PROVIDER PROFILE · NPI 1043519853

James SimmonsD.O.

PRACTICEUCSFSee all providers at this practice →
HospitalistFresno, CAI
CROSS-REFERENCE

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ProviderScore
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QUALITY · MIPS · 2024
Final MIPS score
82.4
Quality
65.6
Cost
71.1
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.31%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 051571
Hospice
CCN 050093
Hospital
CCN 050121
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
629
Unique beneficiaries
—
Total services
949
Distinct HCPCS
6
Medicare payment
$88K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,917 Hospitalist providers in CA — top quintile (cohort median 446).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$309
Payment records
3
By payment type
Food and Beverage$309
PRESCRIBING · PART D · 2024
Total Rx claims
117
Beneficiaries
—
Total drug cost
$8K
Distinct drugs
8
Brand share
21.4%
Top prescribed drugs
Escitalopram Oxalate26 claims
Tamsulosin Hcl16 claims
Levothyroxine Sodium14 claims
Atorvastatin Calcium13 claims
Apixaban13 claims
REFERRAL NETWORK

Where James Simmons'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). 21 inbound referrers · 37 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Sanjeev Athale
Interventional Radiology · Camden, NJ
60255
NPI 120501296036298
Hanumandla Reddy
Cardiology · Hanford, CA
30204
Thong Do
Internal Medicine · Hanford, CA
24163
Meet Boparai
Hospitalist · Avenal, CA
2286
Scott Bowen
Emergency Medicine · Fresno, CA
2150
Myint Zaw
Internal Medicine · Fresno, CA
21127
Ashok Verma
Interventional Cardiology · Hanford, CA
1847
Iain Fan
Diagnostic Radiology · Hellertown, PA
1744
Unilab Corporation
Clinical Laboratory · West Hills, CA
1757
David Eisner
Emergency Medicine · Culver City, CA
1539
SCHLEIF, DUSTIN1537
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HANFORD COMMUNITY HOSPITAL113375
Pinky Alegarbes
Emergency Medicine · Fresno, CA
65501
Kwph Enterprises Inc
Ambulance Service Provider · Fresno, CA
54164
Sanjeev Athale
Interventional Radiology · Camden, NJ
48196
Hanumandla Reddy
Cardiology · Hanford, CA
35160
William Andres Triana Rojas
Hospitalist · Hanford, CA
35216
KAUR, GURVINDER34192
NPI 120501296028202
Dominic Macaranas
Hospitalist · Hanford, CA
27150
Sushila Kompala
Diagnostic Radiology · Eden Prairie, MN
2362
WESTERN HEALTH RESOURCES2353
Thong Do
Internal Medicine · Hanford, CA
22119
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.