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PROVIDER PROFILE · NPI 1275537094

James WheelerM.D.

Family PracticeLouisville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (10)

CCN 187000
Home health agency
CCN 187090
Home health agency
CCN 187091
Home health agency
CCN 187143
Home health agency
CCN 187152
Home health agency
CCN 181502
Hospice
CCN 180040
Hospital
CCN 180088
Hospital
CCN 180130
Hospital
CCN 180138
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,484
Unique beneficiaries
—
Total services
2,277
Distinct HCPCS
15
Medicare payment
$170K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,197 Family Practice providers in KY — top quintile (cohort median 655).
REFERRAL NETWORK

Where James Wheeler'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). 18 inbound referrers · 34 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BAPTIST HEALTHCARE SYSTEM INC.113252
BAPTIST HEALTHCARE SYSTEM, INC.83625
NORTON HOSPITALS INC2795
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.2557
James Wharton
Dermatology · Lexington, KY
2448
CORWIN, HAL2490
LIEBMAN, CURT2248
Angela Didyk
Podiatry · Louisville, KY
1935
Ryan Currier
Diagnostic Radiology · Louisville, KY
1840
Oldham County Ambulance Taxing District
Ambulance Service Provider · La Grange, KY
1649
Swati Daftary
Physical Medicine and Rehabilitation · Louisville, KY
1343
David Jolgren
Diagnostic Radiology · Louisville, KY
1323
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
219389
BAPTIST HEALTHCARE SYSTEM INC.101221
BAPTIST HEALTHCARE SYSTEM, INC.881,143
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.3569
NPI 184127438831109
Richard Waggener
Diagnostic Radiology · Robbinsdale, MN
2882
NORTON HOSPITALS INC2694
James Wharton
Dermatology · Lexington, KY
2547
Forrest Kuhn
Allergy/ Immunology · Louisville, KY
2568
Angela Didyk
Podiatry · Louisville, KY
2452
Ryan Currier
Diagnostic Radiology · Louisville, KY
2346
Daniel Weinberg
Optometry · Louisville, KY
2230
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
94.3
Quality
87.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.81%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
24,317
Beneficiaries
—
Total drug cost
$1.9M
Distinct drugs
253
Brand share
17.8%
Top prescribed drugs
Atorvastatin Calcium1,342 claims
Levothyroxine Sodium1,245 claims
Amlodipine Besylate1,011 claims
Pantoprazole Sodium576 claims
Lisinopril559 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
76
By payment type
Food and Beverage$1K