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PROVIDER PROFILE · NPI 1215988696

James CarterMD

PRACTICEUSA HEALTH PHYSICIAN BILLING SERVICES LLCSee all providers at this practice →
PathologyMobile, ALI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
85.8
Cost
75.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.85%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
9,920
Unique beneficiaries
—
Total services
12,012
Distinct HCPCS
75
Medicare payment
$143K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 161 Pathology providers in AL — top quintile (cohort median 1,364).
REFERRAL NETWORK

Where James Carter'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). 7 inbound referrers · 17 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF SOUTH ALABAMA116182
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
2943
UNIVERSITY OF SOUTH ALABAMA2842
Brooks Cash
Gastroenterology · Houston, TX
2448
Bassam Omar
Cardiology · Mobile, AL
1930
Reynaldo Rodriguez
Gastroenterology · Mobile, AL
1939
NPI 11341261131314
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF SOUTH ALABAMA3866
USA HEALTH SERVICES FOUNDATION3336
Samuel Mcquiston
Emergency Medicine · Mobile, AL
1932
MALCOLM, IAN1844
MOBILE INFIRMARY ASSOCIATION1843
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
1722
Paul Rider
Colorectal Surgery (Proctology) · Mobile, AL
1740
Joel Lightner
Diagnostic Radiology · Huntsville, AL
1624
Dennis Hutchens
Anesthesiology · Kenner, LA
1418
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION1313
Donna Dyess
General Surgery · Mobile, AL
1337
Hani Sabahi
Gastroenterology · Lansdowne, VA
1314
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.