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PROVIDER PROFILE · NPI 1225092950

James ShropshireMD

Family PracticeMadison, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 520098
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
276
Unique beneficiaries
—
Total services
313
Distinct HCPCS
4
Medicare payment
$19K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,096 Family Practice providers in WI — below median (cohort median 478).
PRESCRIBING · PART D · 2024
Total Rx claims
5,551
Beneficiaries
—
Total drug cost
$507K
Distinct drugs
113
Brand share
22.4%
Top prescribed drugs
Atorvastatin Calcium367 claims
Lisinopril236 claims
Levothyroxine Sodium217 claims
Amlodipine Besylate209 claims
Omeprazole198 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Shropshire'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). 3 inbound referrers · 8 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MERITER HOSPITAL, INC.1421,890
Meriter Health Enterprises Inc.
Clinical Laboratory · Madison, WI
97873
MERITER HOSPITAL, INC.1574
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MERITER HOSPITAL, INC.100972
Meriter Health Enterprises Inc.
Clinical Laboratory · Madison, WI
91963
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY30188
OAK PARK NURSING AND REHAB CENTER LLC22213
Wisconsin Diagnostic Laboratories Llc
Clinical Laboratory · Milwaukee, WI
13186
MERITER HOSPITAL, INC.1258
Edward Borman
Diagnostic Radiology · Madison, WI
1173
Christopher Guglielmo
Diagnostic Radiology · Madison, WI
11116
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.
QUALITY · MIPS · 2024
Final MIPS score
87.6
Quality
84.6
Cost
81.6
Improvement activities
40.0
Promoting interop.
91.0
Payment adjustment
0.53%
Group