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PROVIDER PROFILE · NPI 1255569414

James LyionsM.D.

PRACTICEPHARMACY COUNTER, LLCSee all providers at this practice →
Orthopedic SurgeryMaumee, OHI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 368247
Home health agency
CCN 368362
Home health agency
CCN 360029
Hospital
CCN 360068
Hospital
CCN 360112
Hospital
REFERRAL NETWORK

Where James Lyions'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). 15 inbound referrers · 31 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE TOLEDO HOSPITAL3886
Donald Cox
Diagnostic Radiology · Toledo, OH
2562
Bruce Siders
Diagnostic Radiology · Toledo, OH
2567
HOUSTON, THOMAS2457
TOLEDO HOSPITAL1937
HOEFLINGER, MICHAEL1854
Todd Monroe
Interventional Cardiology · Toledo, OH
1537
Carolyn Gbur
Cardiology · Perrysburg, OH
1550
Mohammad Katout
Nephrology · Flint, MI
1437
Patrick Schafer
Anesthesiology · Maumee, OH
1457
NPI 14371453151328
Benjamin Salpietro
Orthopedic Surgery · Maumee, OH
1344
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NPI 1750387031166779
THE TOLEDO HOSPITAL45120
Bruce Siders
Diagnostic Radiology · Toledo, OH
3488
Rubina Shah
Diagnostic Radiology · Toledo, OH
3394
TOLEDO HOSPITAL2990
OHIO CARE AMBULATORY SURGERY CENTER2666
Farhad Ebrahim
Diagnostic Radiology · Toldeo, OH
2570
David Cervantes
Diagnostic Radiology · Toledo, OH
2368
Yogesh Patel
Diagnostic Radiology · Toldeo, OH
2349
HOEFLINGER, MICHAEL2163
Stephen Eldridge
Diagnostic Radiology · Toledo, OH
1738
Tarek Moustafa
Diagnostic Radiology · Toledo, OH
1634
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
986
Unique beneficiaries
—
Total services
9,146
Distinct HCPCS
20
Medicare payment
$145K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 853 Orthopedic Surgery providers in OH — top quintile (cohort median 1,114).
PRESCRIBING · PART D · 2024
Total Rx claims
1,063
Beneficiaries
—
Total drug cost
$5K
Distinct drugs
9
Brand share
30.5%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen264 claims
Cephalexin250 claims
Ibuprofen198 claims
Ondansetron Hcl143 claims
Tramadol Hcl69 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$366
Payment records
7
By payment type
Food and Beverage$251
Long term medical supply or device loan$114