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PROVIDER PROFILE · NPI 1104973205

James MatternO.D.

PRACTICEJAMES W MATTERN OD, PLLCSee all providers at this practice →
OptometryFairfax, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
98.7
Quality
97.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.00%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
1,088
Beneficiaries
—
Total drug cost
$258K
Distinct drugs
16
Brand share
45.5%
Top prescribed drugs
Latanoprost232 claims
Bimatoprost178 claims
Prednisolone Acetate133 claims
Dorzolamide Hcl/Timolol Maleat129 claims
Timolol Maleate100 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
38
By payment type
Food and Beverage$1K
Entertainment$133
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,633
Unique beneficiaries
—
Total services
1,799
Distinct HCPCS
14
Medicare payment
$86K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 797 Optometry providers in VA — top quintile (cohort median 481).
REFERRAL NETWORK

Where James Mattern'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). 8 inbound referrers · 21 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
John Baldinger
Ophthalmology · Fairfax, VA
153269
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
63101
Fairfax Surgical Center, L.P.
Ambulatory Surgical Center · Fairfax, VA
5762
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
2646
SOLSTAS LAB PARTNERS GROUP LLC2044
MCCONVILLE, BARRY1621
Lindsey Verest
Certified Registered Nurse Anesthetist (CRNA) · Leesburg, VA
1415
PILCHER, ANNE1111
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Fairfax Surgical Center, L.P.
Ambulatory Surgical Center · Fairfax, VA
196369
John Baldinger
Ophthalmology · Fairfax, VA
144209
Andrew Kim
Anesthesiology · Alexandria, VA
111170
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
82128
HANES, CHAD75115
James Powers
Optometry · Fairfax, VA
6783
EURE, SHERRI63113
Lindsey Verest
Certified Registered Nurse Anesthetist (CRNA) · Leesburg, VA
5276
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
4767
PILCHER, ANNE3646
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
3141
HUNTER, EDITH2835
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.