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PROVIDER PROFILE · NPI 1346218237

James GuilleM.D.

Orthopedic SurgeryPottstown, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where James Guille'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). 9 inbound referrers · 25 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
50164
BUTTARO, STEVEN36192
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2249
Rakesh Baman
Cardiology · Augusta, GA
1563
Stephen Ryan
Physician Assistant · Easton, PA
1576
Manjula Raman
Internal Medicine · Pottstown, PA
1431
Steven Greenberg
Diagnostic Radiology · Phoenixville, PA
1224
David Malamed
Diagnostic Radiology · Phoenixville, PA
1117
Nicole Heisman-Rifkin
Internal Medicine · Stowe, PA
1148
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
POTTSTOWN HOSPITAL COMPANY LLC115523
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
46137
PHOENIXVILLE HOSPITAL COMPANY LLC42105
BUTTARO, STEVEN41213
David Auerbach
Diagnostic Radiology · Edina, MN
37105
Anitha Gonsalves
Diagnostic Radiology · York, PA
2883
DEVANNA, THOMAS2455
Symphony Diagnostic Services No 1 Llc
Portable X-Ray Supplier · Sparks, MD
2347
Manjula Raman
Internal Medicine · Pottstown, PA
1868
NPI 15988029101894
Rakesh Baman
Cardiology · Augusta, GA
1685
Richard Saunders
Pulmonary Disease · Pottstown, PA
1448
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
635
Unique beneficiaries
—
Total services
1,138
Distinct HCPCS
19
Medicare payment
$54K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 974 Orthopedic Surgery providers in PA — below median (cohort median 1,699).
PRESCRIBING · PART D · 2024
Total Rx claims
202
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
7
Brand share
5.9%
Top prescribed drugs
Gabapentin62 claims
Meloxicam35 claims
Prednisone30 claims
Diclofenac Sodium29 claims
Cyclobenzaprine Hcl20 claims
QUALITY · MIPS · 2024
Final MIPS score
96.6
Quality
21.0
Cost
73.0
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.91%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.