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PROVIDER PROFILE · NPI 1124353610

James TroyM.D.

Internal MedicineLexington, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 180067
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
85.8
Quality
68.3
Cost
72.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
25
Beneficiaries
—
Total drug cost
$170
Distinct drugs
2
Brand share
56.0%
Top prescribed drugs
Ondansetron14 claims
Oxycodone Hcl11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
67
Unique beneficiaries
—
Total services
168
Distinct HCPCS
3
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,039 Internal Medicine providers in KY — bottom quintile (cohort median 766).
REFERRAL NETWORK

Where James Troy'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). 11 inbound referrers · 24 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Michael Winkler
Diagnostic Radiology · Augusta, GA
3077
NPI 13260572413065
Michael Brooks
Diagnostic Radiology · Roanoke, VA
1943
HOLLEMAN, DONALD1959
Jeremy Thacker
Diagnostic Radiology · Lexington, KY
1834
David Disantis
Diagnostic Radiology · Jacksonville, FL
1549
Flavius Raslau
Diagnostic Radiology · Lexington, KY
1534
Justin Montgomery
Diagnostic Radiology · Lexington, KY
1228
MERHAR, GARY1229
NPI 13967645691129
David Nickels
Diagnostic Radiology · Lexington, KY
1128
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF KENTUCKY110300
KUO, CHIEN-SUU3765
Marianna Zagurovskaya
Diagnostic Radiology · Fishers, IN
3795
Stephen Hobbs
Diagnostic Radiology · Lexington, KY
3269
Michael Brooks
Diagnostic Radiology · Roanoke, VA
3160
NPI 13260572413145
Michael Winkler
Diagnostic Radiology · Augusta, GA
3173
MERCURY AMBULANCE SERVICE INC3069
NPI 18917177323043
KING, JOSEPH2754
HOLLEMAN, DONALD2256
James Lee
Diagnostic Radiology · Lexington, KY
1930
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.