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PROVIDER PROFILE · NPI 1134225832

James MaloneD.O.

Family PracticeBridgeport, WVI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
79.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.86%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (10)

CCN 517053
Home health agency
CCN 517122
Home health agency
CCN 511502
Hospice
CCN 511523
Hospice
CCN 510001
Hospital
CCN 510006
Hospital
CCN 511307
Hospital
CCN 515107
Nursing home
CCN 515120
Nursing home
CCN 515141
Nursing home
PRESCRIBING · PART D · 2024
Total Rx claims
36,232
Beneficiaries
—
Total drug cost
$1.8M
Distinct drugs
227
Brand share
20.7%
Top prescribed drugs
Atorvastatin Calcium1,547 claims
Levothyroxine Sodium1,446 claims
Amlodipine Besylate1,425 claims
Sertraline Hcl1,232 claims
Pantoprazole Sodium1,188 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,726
Unique beneficiaries
—
Total services
2,807
Distinct HCPCS
19
Medicare payment
$157K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 622 Family Practice providers in WV — top quintile (cohort median 500).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
56
By payment type
Food and Beverage$1K
REFERRAL NETWORK

Where James Malone'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). 45 inbound referrers · 82 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNITED HOSPITAL CENTER, INC2721,191
GRAFTON CITY HOSPITAL INC74339
Harrison County Emergency Squad
Ambulance Service Provider · Clarksburg, WV
66607
Jerry Hadrych
Podiatry · Fairmont, WV
59290
Mark Hackney
Diagnostic Radiology · Fairmont, WV
57202
HEARTLAND OF CLARKSBURG WV LLC44349
James Ross
Diagnostic Radiology · Fairmont, WV
42124
Richard Person
Diagnostic Radiology · Jonesboro, AR
4182
Wesley Tuel
Diagnostic Radiology · Pittsburgh, PA
3882
Gerardo Lopez
Cardiology · Bridgeport, WV
3390
John Adeniyi
Thoracic Surgery · Bridgeport, WV
33183
Garrett Stover
Diagnostic Radiology · Morgantown, WV
3292
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC432993
UNITED HOSPITAL CENTER, INC3311,364
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
200772
WEST VIRGINIA UNIVERSITY HOSPITALS, INC118950
GRAFTON CITY HOSPITAL INC81464
Mark Hackney
Diagnostic Radiology · Fairmont, WV
80184
James Ross
Diagnostic Radiology · Fairmont, WV
75134
8 ROSE STREET OPERATIONS LLC65673
Harrison County Emergency Squad
Ambulance Service Provider · Clarksburg, WV
64443
Thomas Koay
Diagnostic Radiology · Fairmont, WV
64122
Jerry Hadrych
Podiatry · Fairmont, WV
61323
LAPLANTE, JON60145
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.