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PROVIDER PROFILE · NPI 1073839049

James HeilmanM.D.

Emergency MedicinePortland, ORI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 380009
Hospital
CCN 381320
Hospital
QUALITY · MIPS · 2024
Final MIPS score
99.1
Quality
84.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.01%
APM Entity
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
85
Unique beneficiaries
—
Total services
87
Distinct HCPCS
3
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 688 Emergency Medicine providers in OR — bottom quintile (cohort median 233).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Heilman'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). 6 inbound referrers · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
TUALITY HEALTHCARE3499
Eric Stecker
Clinical Cardiac Electrophysiology · Portland, OR
2238
Geoffrey Gullo
Diagnostic Radiology · Hillsboro, OR
1736
PRIMACK, STEVEN1222
PROVIDENCE HEALTH & SERVICES OREGON1229
American Medical Response Northwest Inc
Ambulance Service Provider · Portland, OR
1232
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
OREGON HEALTH & SCIENCE UNIVERSITY111436
TUALITY HEALTHCARE90246
Metro West Ambulance, Inc
Ambulance Service Provider · Hillsboro, OR
59149
American Medical Response Northwest Inc
Ambulance Service Provider · Portland, OR
2869
Thomas Dewland
Clinical Cardiac Electrophysiology · San Francisco, CA
2670
Vincent Reyes
Cardiology · Hillsboro, OR
2538
Charles Henrikson
Clinical Cardiac Electrophysiology · Portland, OR
2558
MILLESON, THOMAS2550
Jinho Kim
Diagnostic Radiology · Bedford, NH
2140
Rupa Bala
Clinical Cardiac Electrophysiology · Providence, RI
1846
Cristina Fuss
Diagnostic Radiology · Portland, OR
1829
Arash Delshad
Diagnostic Radiology · Bedford, NH
1832
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.