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PROVIDER PROFILE · NPI 1144284357

James HigginsM.D.

Plastic and Reconstructive SurgeryBaltimore, MDI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 210024
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
27
Beneficiaries
—
Total drug cost
$73
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Tramadol Hcl14 claims
Oxycodone Hcl13 claims
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%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$217
Payment records
3
By payment type
Food and Beverage$217
REFERRAL NETWORK

Where James Higgins'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). 5 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE UNION MEMORIAL HOSPITAL47102
Lutherville Surgicenter, Llc
Ambulatory Surgical Center · Lutherville, MD
4582
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
3170
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2447
FRANKLIN SQUARE HOSPITAL CENTER, INC1433
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE UNION MEMORIAL HOSPITAL82250
NATIONAL REHABILITATION HOSPITAL INC37181
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
3465
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2946
Lutherville Surgicenter, Llc
Ambulatory Surgical Center · Lutherville, MD
2326
Amy Caplan
Anesthesiology · Keene, NH
1529
THE JOHNS HOPKINS HOSPITAL1316
David Widlus
Diagnostic Radiology · Baltimore, MD
1318
GREATER BALTIMORE MEDICAL CENTER, INC.1115
St Paul Place Specialists, Inc.
Clinical Laboratory · Baltimore, MD
1122
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,148
Unique beneficiaries
—
Total services
1,800
Distinct HCPCS
16
Medicare payment
$128K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 99 Plastic and Reconstructive Surgery providers in MD — top quintile (cohort median 228).