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PROVIDER PROFILE · NPI 1164713756

James SullivanMD

HospitalistGoldsboro, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 290039
Hospital
CCN 290041
Hospital
QUALITY · MIPS · 2024
Final MIPS score
61.2
Quality
60.2
Cost
69.3
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-1.66%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
228
Beneficiaries
—
Total drug cost
$13K
Distinct drugs
13
Brand share
27.2%
Top prescribed drugs
Amoxicillin/Potassium Clav35 claims
Atorvastatin Calcium23 claims
Metoprolol Succinate22 claims
Furosemide21 claims
Doxycycline Hyclate20 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,016
Unique beneficiaries
—
Total services
1,793
Distinct HCPCS
6
Medicare payment
$164K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 925 Hospitalist providers in NC — top quintile (cohort median 486).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$17
Payment records
1
By payment type
Food and Beverage$17
REFERRAL NETWORK

Where James Sullivan'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). 30 inbound referrers · 90 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MVHS INC281566
CENTREX CLINICAL LABORATORIES INC112394
Nancy Shaheen
Diagnostic Radiology · New Hartford, NY
110236
Kenneth Murphy
Diagnostic Radiology · Utica, NY
72138
Utica Ambulance Service, Inc.
Ambulance Service Provider · Utica, NY
64132
Goutham Malempati
Internal Medicine · Utica, NY
59101
Gordon Archibald
Diagnostic Radiology · Eden Prairie, MN
58125
John Pylman
Family Practice · Utica, NY
5099
STERNICK, ANDREW3956
Sarmad Siddiqui
Family Practice · Rochester, NY
3659
Lisette Alfaro-Berg
Internal Medicine · Dallas, TX
3250
Anwar Wassel
Pulmonary Disease · Utica, NY
30159
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MVHS INC331778
Edwards Ambulance Inc
Ambulance Service Provider · Chadwicks, NY
129261
CENTREX CLINICAL LABORATORIES INC117363
Nancy Shaheen
Diagnostic Radiology · New Hartford, NY
116263
Jacob Nelson
Family Practice · Henderson, NV
89176
Kenneth Murphy
Diagnostic Radiology · Utica, NY
86197
John Badami
Diagnostic Radiology · Utica, NY
71161
Satish Gedela
Family Practice · Utica, NY
66143
Parvez Asmat
Diagnostic Radiology · Utica, NY
65143
Gordon Archibald
Diagnostic Radiology · Eden Prairie, MN
64149
Robert Meier
Diagnostic Radiology · New Hartford, NY
62117
Tatjana Mondom
Family Practice · Utica, NY
60135
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.