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PROVIDER PROFILE · NPI 1174692206

James BatesM.D.

PRACTICEALVARADO ORTHOPEDIC MEDICAL GROUP, INC.See all providers at this practice →
Orthopedic SurgerySan Diego, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$291
Payment records
7
By payment type
Food and Beverage$291
Top paying entities
Food and Beverage$291
QUALITY · MIPS · 2024
Final MIPS score
87.8
Quality
73.0
Cost
83.2
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.54%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
267
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
4
Brand share
11.2%
Top prescribed drugs
Meloxicam111 claims
Oxycodone Hcl94 claims
Methylprednisolone32 claims
Hydrocodone/Acetaminophen30 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 059387
Home health agency
CCN 557711
Home health agency
CCN 050025
Hospital
CCN 050026
Hospital
CCN 050234
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
860
Unique beneficiaries
—
Total services
1,269
Distinct HCPCS
18
Medicare payment
$133K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,921 Orthopedic Surgery providers in CA — above median (cohort median 1,100).
REFERRAL NETWORK

Where James Bates'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). 17 inbound referrers · 31 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER94616
ALVARADO HOSPITAL, LLC53106
John Finkenberg
Orthopedic Surgery · San Diego, CA
5387
Peter Kelly
Internal Medicine · Coronado, CA
29147
Joel Sigeti
Diagnostic Radiology · San Diego, CA
2862
MISSION HOME HEALTH OF SAN DIEGO LLC2866
Unilab Corporation
Clinical Laboratory · West Hills, CA
2558
RESERVOIR PHYSICIANS SURGERY CENTER, LLC1734
Scott Harman
Diagnostic Radiology · San Diego, CA
1635
Scott Boles
Diagnostic Radiology · San Diego, CA
1533
Christopher Sebrechts
Diagnostic Radiology · San Diego, CA
1429
COOK, GLENN1426
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ALVARADO HOSPITAL, LLC73207
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER70363
John Finkenberg
Orthopedic Surgery · San Diego, CA
69181
RESERVOIR PHYSICIANS SURGERY CENTER, LLC44132
GROSSMONT HOSPITAL CORPORATION39113
Joel Sigeti
Diagnostic Radiology · San Diego, CA
3688
Scripps Health
Clinical Laboratory · San Diego, CA
28191
MISSION HOME HEALTH OF SAN DIEGO LLC2869
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
2770
Unilab Corporation
Clinical Laboratory · West Hills, CA
2677
Peter Kelly
Internal Medicine · Coronado, CA
25135
Raymond Summers
Pathology · San Diego, CA
2577
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.