PROVIDER PROFILE · NPI 1245595123

James SmithM.D.

Emergency MedicineGrand Rapids, MII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

124

Unique beneficiaries

—

Total services

126

Distinct HCPCS

Medicare payment

$16K

Peer benchmark

Total Medicare services vs. 2,370 Emergency Medicine providers in MI — bottom quintile (cohort median 308).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$336

Distinct drugs

Brand share

46.3%

Top prescribed drugs

Cefuroxime Axetil25 claims

Famotidine18 claims

Naproxen11 claims

QUALITY · MIPS · 2024

Final MIPS score

97.5

Quality

89.3

Cost

85.9

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.95%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where James Smith'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 · 11 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SPECTRUM HEALTH UNITED	38	90
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION	16	55
SPECTRUM HEALTH PRIMARY CARE PARTNERS	13	22

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SPECTRUM HEALTH UNITED	76	193
SPECTRUM HEALTH HOSPITALS	58	121
Matthew Dewys Emergency Medicine · Greenville, MI	31	38
County Of Montcalm Ambulance Service Provider · Stanton, MI	24	48
Jason Bowman Emergency Medicine · Grand Rapids, MI	22	30
MUNSON HEALTHCARE MANISTEE HOSPITAL	18	52
REGENTS OF THE UNIVERSITY OF MICHIGAN	17	25
KOOISTRA, JOSHUA	16	21
THORNBURG, BARBARA	15	19
Kristen Vanderhorn Internal Medicine · Greenville, MI	14	32
Balaji Vutla Hospitalist · Grand Rapids, MI	11	25

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history