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PROVIDER PROFILE · NPI 1225250640

Terry JamesM.D.

PRACTICEJAMES ENTERPRISES, LLCSee all providers at this practice →
Family PracticeAddison, ALI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

CCN 017009
Home health agency
CCN 017027
Home health agency
CCN 017153
Home health agency
CCN 017170
Home health agency
CCN 017327
Home health agency
CCN 010035
Hospital
CCN 010089
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,227
Unique beneficiaries
—
Total services
2,961
Distinct HCPCS
21
Medicare payment
$68K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,250 Family Practice providers in AL — top quintile (cohort median 957).
REFERRAL NETWORK

Where Terry 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). 24 inbound referrers · 42 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
204963
CULLMAN REGIONAL MEDICAL CENTER, INC153554
Eurofins Diatherix Laboratories Llc
Clinical Laboratory · Huntsville, AL
3885
BAPTIST HEALTH SYSTEM INC2695
UNIVERSITY OF ALABAMA AT BIRMINGHAM2699
John Morris
Hospitalist · Florence, AL
2597
Heritage Diagnostic Center, Llc
Independent Diagnostic Testing Facility (IDTF) · Cullman, AL
2462
Regional Paramedical Services Inc
Ambulance Service Provider · Jasper, AL
2288
Scarlette Smith
Dermatology · Cullman, AL
2247
Donald Marecle
General Surgery · Cullman, AL
2263
James Lee
Cardiology · Cullman, AL
2171
Scott Thompson
Diagnostic Radiology · Birmingham, AL
1937
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3711,980
CULLMAN REGIONAL MEDICAL CENTER, INC148448
Heritage Diagnostic Center, Llc
Independent Diagnostic Testing Facility (IDTF) · Cullman, AL
44109
Eurofins Diatherix Laboratories Llc
Clinical Laboratory · Huntsville, AL
3173
Donald Marecle
General Surgery · Cullman, AL
30112
BAPTIST HEALTH SYSTEM INC30133
UNIVERSITY OF ALABAMA AT BIRMINGHAM29145
Regional Paramedical Services Inc
Ambulance Service Provider · Jasper, AL
2773
LABORATORY CORPORATION OF AMERICA HOLDINGS2768
Scarlette Smith
Dermatology · Cullman, AL
2564
Cunningham Pathology, Llc
Clinical Laboratory · Birmingham, AL
2563
SOLSTAS LAB PARTNERS GROUP LLC2381
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
23.0
Quality
0.0
Cost
76.8
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.24%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
15,198
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
180
Brand share
26.1%
Top prescribed drugs
Hydrocodone/Acetaminophen750 claims
Gabapentin500 claims
Amlodipine Besylate452 claims
Atorvastatin Calcium410 claims
Losartan Potassium375 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$48
Payment records
3
By payment type
Food and Beverage$48