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PROVIDER PROFILE · NPI 1083877369

James RouseM.D.

OphthalmologyKnoxville, TNI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 440015
Hospital
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,335
Unique beneficiaries
—
Total services
4,246
Distinct HCPCS
19
Medicare payment
$309K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 326 Ophthalmology providers in TN — above median (cohort median 2,504).
PRESCRIBING · PART D · 2024
Total Rx claims
6,852
Beneficiaries
—
Total drug cost
$807K
Distinct drugs
29
Brand share
34.3%
Top prescribed drugs
Latanoprost1,585 claims
Dorzolamide Hcl/Timolol Maleat916 claims
Brimonidine Tartrate656 claims
Timolol Maleate583 claims
Bimatoprost372 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$316
Payment records
20
By payment type
Food and Beverage$316
REFERRAL NETWORK

Where James Rouse'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). 3 inbound referrers · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Wanda White
Certified Registered Nurse Anesthetist (CRNA) · Knoxville, TN
2937
METRO KNOXVILLE HMA LLC2341
PARKWEST MEDICAL CENTER2228
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Knoxville Eye Surgery Center Llc
Ambulatory Surgical Center · Knoxville, TN
88248
UNIVERSITY HEALTH SYSTEM, INC.4394
Laboratory Corporation Of America
Clinical Laboratory · Knoxville, TN
4178
PRISMA HEALTH-BLOUNT MEMORIAL HOSPITAL, INC2791
METRO KNOXVILLE HMA LLC2437
Wanda White
Certified Registered Nurse Anesthetist (CRNA) · Knoxville, TN
2136
PARKWEST MEDICAL CENTER2131
FORT SANDERS REGIONAL MEDICAL CENTER2029
NPI 15988452161852
James Miller
Ophthalmology · Knoxville, TN
1526
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
1422
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
1431
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.