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PROVIDER PROFILE · NPI 1275826901

James RoatM.D.

GastroenterologyLincoln, NEI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$385
Payment records
21
By payment type
Food and Beverage$385
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 280003
Hospital
CCN 280013
Hospital
CCN 280020
Hospital
CCN 281336
Hospital
CCN 281339
Hospital
REFERRAL NETWORK

Where James Roat'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). 1 inbound referrers · 1 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC1860
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC1237
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
100.0
Quality
21.4
Cost
64.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
893
Beneficiaries
—
Total drug cost
$720K
Distinct drugs
14
Brand share
52.5%
Top prescribed drugs
Sodium, Potassium,mag Sulfates275 claims
Pantoprazole Sodium219 claims
Omeprazole61 claims
Colestipol Hcl43 claims
Linaclotide38 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
787
Unique beneficiaries
—
Total services
9,263
Distinct HCPCS
23
Medicare payment
$258K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 72 Gastroenterology providers in NE — above median (cohort median 5,668).