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PROVIDER PROFILE · NPI 1194727701

Oliver JamesM.D.

PRACTICECOMMONWEALTH SLEEP AND REHAB, PLLCSee all providers at this practice →
Pain ManagementLexington, KYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 180049
Hospital
CCN 180064
Hospital
CCN 180101
Hospital
CCN 180103
Hospital
CCN 180143
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,640
Unique beneficiaries
—
Total services
8,460
Distinct HCPCS
21
Medicare payment
$300K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 49 Pain Management providers in KY — near median (cohort median 3,510).
PRESCRIBING · PART D · 2024
Total Rx claims
41,542
Beneficiaries
—
Total drug cost
$2.5M
Distinct drugs
63
Brand share
49.5%
Top prescribed drugs
Hydrocodone/Acetaminophen9,583 claims
Gabapentin8,205 claims
Oxycodone Hcl/Acetaminophen6,753 claims
Oxycodone Hcl2,743 claims
Tramadol Hcl2,542 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%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$549
Payment records
22
By payment type
Food and Beverage$549
REFERRAL NETWORK

Where Oliver James'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). 56 inbound referrers · 128 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SAINT JOSEPH HEALTH SYSTEM, INC372913
Lisa Caldwell
Psychiatry & Neurology · Lexington, KY
196219
SAINT JOSEPH HEALTH SYSTEM, INC177402
New Lexington Clinic, Psc
Clinical Laboratory · Lexington, KY
176638
Allen Westerfield
Diagnostic Radiology · Lexington, KY
79180
Labone Of Ohio Inc
Clinical Laboratory · Cincinnati, OH
53182
Carina Butler
Diagnostic Radiology · Lexington, KY
5399
Shailendra Chopra
Diagnostic Radiology · Lexington, KY
4999
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC47152
ST CLAIRE MEDICAL CENTER INC45203
Matthew Zwick
Diagnostic Radiology · Lexington, KY
3875
John Richard
Family Practice · Lexington, KY
37236
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SAINT JOSEPH HEALTH SYSTEM, INC1,5038,298
Edwin Robbins
Physician Assistant · Lexington, KY
1,0742,327
SAINT JOSEPH HEALTH SYSTEM, INC203482
BAPTIST HEALTHCARE SYSTEM, INC154391
New Lexington Clinic, Psc
Clinical Laboratory · Lexington, KY
152510
UNIVERSITY OF KENTUCKY149613
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
148347
KENTUCKY HOSPITAL, LLC96348
Allen Westerfield
Diagnostic Radiology · Lexington, KY
79152
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
67180
BAPTIST HEALTHCARE SYSTEM, INC.67162
SAINT JOSEPH HEALTH SYSTEM, INC60201
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.