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PROVIDER PROFILE · NPI 1194727164

James HigginsM.D.

PRACTICEJAMES R. HIGGINS, M.D.INCSee all providers at this practice →
CardiologyTulsa, OKI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 370091
Hospital
CCN 370210
Hospital
QUALITY · MIPS · 2024
Final MIPS score
21.5
Quality
0.0
Cost
71.6
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.42%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
1,361
Beneficiaries
—
Total drug cost
$188K
Distinct drugs
27
Brand share
19.1%
Top prescribed drugs
Atorvastatin Calcium236 claims
Metoprolol Succinate115 claims
Clopidogrel Bisulfate96 claims
Apixaban88 claims
Ezetimibe79 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,435
Unique beneficiaries
—
Total services
3,678
Distinct HCPCS
6
Medicare payment
$51K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 140 Cardiology providers in OK — above median (cohort median 3,018).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$941
Payment records
52
By payment type
Food and Beverage$941
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). 83 inbound referrers · 252 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTHEASTERN HEALTH SYSTEM1,0614,317
REGIONAL MEDICAL LABORATORY, INC320982
SAINT FRANCIS HOSPITAL, INC.253517
Christopher Higgins
Cardiology · Tulsa, OK
230937
OKLAHOMA SURGICAL HOSPITAL, LLC129161
ST JOHN MEDICAL CENTER INC87163
Rodney Plaster
Orthopedic Surgery · Tulsa, OK
85158
Mark Meese
General Surgery · Tulsa, OK
6998
SAINT FRANCIS HOSPITAL SOUTH LLC6395
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
54105
Charles Pritchard
Urology · Tulsa, OK
49121
Christopher Browne
Orthopedic Surgery · Tulsa, OK
4466
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
OKLAHOMA SURGICAL HOSPITAL, LLC1,2782,292
Christopher Higgins
Cardiology · Tulsa, OK
4191,681
Ziad Sous
Hospitalist · Tulsa, OK
357412
REGIONAL MEDICAL LABORATORY, INC3501,142
NORTHEASTERN HEALTH SYSTEM316849
Julie Mcarthur
Physician Assistant · Tulsa, OK
296477
Saint Francis Outreach Services Llc
Clinical Laboratory · Tulsa, OK
274670
Tommy Nguyen
Hospitalist · Tulsa, OK
240277
SAINT FRANCIS HOSPITAL, INC.235499
AHS SOUTHCREST HOSPITAL, LLC.146396
COMMUNITY HOME HEALTH INC131131
Hafida Mumallah
Family Practice · Tulsa, OK
121136
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.