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PROVIDER PROFILE · NPI 1295700599

James GilhoolDO

PRACTICEOSS ORTHOPAEDIC HOSPITAL, LLCSee all providers at this practice →
Physical Medicine and RehabilitationYork, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 390046
Hospital
CCN 390068
Hospital
CCN 390101
Hospital
CCN 390233
Hospital
CCN 390325
Hospital
REFERRAL NETWORK

Where James Gilhool'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). 26 inbound referrers · 34 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
YORK HOSPITAL2201,210
YORK PENNSYLVANIA HOSPITAL COMPANY LLC68294
Amit Patel
Orthopedic Surgery · York, PA
46238
Michael Furman
Physical Medicine and Rehabilitation · York, PA
36175
Chad Rutter
Orthopedic Surgery · York, PA
34243
Brian Koons
Physician Assistant · York, PA
29147
Jeffrey Spreitzer
Diagnostic Radiology · Weston, FL
2892
Brian Steinmetz
Physical Medicine and Rehabilitation · York, PA
25121
John Jamison
Physician Assistant · York, PA
25124
MITRICK, MICHAEL22156
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
2067
Michael Sicuranza
Orthopaedic Surgery · York, PA
2084
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
OSS ORTHOPAEDIC HOSPITAL, LLC5224,379
OSS ORTHOPAEDIC HOSPITAL, LLC4171,559
YORK HOSPITAL1911,024
TRIANTAFYLLOU, STEVEN65267
YORK PENNSYLVANIA HOSPITAL COMPANY LLC49192
Chad Rutter
Orthopedic Surgery · York, PA
37231
Kirk Pandelidis
Orthopedic Surgery · York, PA
34200
Amit Patel
Orthopedic Surgery · York, PA
30159
UPMC HANOVER29224
MORITZ, MICHAEL28105
Brian Steinmetz
Physical Medicine and Rehabilitation · York, PA
20114
Paul Lin
Physical Medicine and Rehabilitation · York, PA
2099
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
1,092
Unique beneficiaries
—
Total services
1,403
Distinct HCPCS
16
Medicare payment
$101K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 494 Physical Medicine and Rehabilitation providers in PA — above median (cohort median 1,202).
QUALITY · MIPS · 2024
Final MIPS score
95.7
Quality
99.2
Cost
86.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.87%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,786
Beneficiaries
—
Total drug cost
$19K
Distinct drugs
19
Brand share
4.1%
Top prescribed drugs
Gabapentin677 claims
Meloxicam340 claims
Diclofenac Sodium150 claims
Cyclobenzaprine Hcl146 claims
Pregabalin72 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$551
Payment records
9
By payment type
Food and Beverage$551