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PROVIDER PROFILE · NPI 1275697161

James SullivanMD

PRACTICEBJ'S WHOLESALE CLUB INC.See all providers at this practice →
RheumatologyGarden City, NYI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 330214
Hospital
QUALITY · MIPS · 2024
Final MIPS score
90.8
Quality
91.8
Cost
75.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.66%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,637
Beneficiaries
—
Total drug cost
$2.7M
Distinct drugs
35
Brand share
31.4%
Top prescribed drugs
Prednisone424 claims
Methotrexate Sodium326 claims
Alendronate Sodium237 claims
Hydroxychloroquine Sulfate219 claims
Allopurinol138 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$591
Payment records
33
By payment type
Food and Beverage$591
REFERRAL NETWORK

Where James Sullivan'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). 11 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
2271,588
NYU LANGONE HOSPITALS77385
Sheldon Feit
Diagnostic Radiology · Garden City, NY
3965
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
3384
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2873
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
2253
Paul Orbon
Allergy/ Immunology · Garden City, NY
2092
STEIN, PHILIP1663
Herbert Hirsch
Cardiology · Garden City, NY
1431
SUSSMAN, MICHAEL1454
DEMENTO, FRANK1329
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
160617
NYU LANGONE HOSPITALS59229
Sheldon Feit
Diagnostic Radiology · Garden City, NY
54110
Cindy Kaufman
Endocrinology · Eastchester, NY
4090
Michael Deprimo
Physical Therapist in Private Practice · East Meadow, NY
38395
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2953
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
2872
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
2338
Paul Harnick
Cardiology · Garden City, NY
1971
Christopher Misciagno
Internal Medicine · Garden City, NY
1771
Herbert Hirsch
Cardiology · Garden City, NY
1546
ROTOLO, JOSEPH1459
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
1,128
Unique beneficiaries
—
Total services
7,004
Distinct HCPCS
10
Medicare payment
$210K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 402 Rheumatology providers in NY — above median (cohort median 1,221).