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PROVIDER PROFILE · NPI 1396769543

James EvansM.D.

Infectious DiseaseAustin, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where James Evans'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). 40 inbound referrers · 49 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
671,103
Jeffrey Sheneman
Diagnostic Radiology · Austin, TX
66712
MICHEL, ANDREA47492
Zachary Sussman
Pathology · Austin, TX
30173
Michael Aronoff
Diagnostic Radiology · Austin, TX
26149
City Of Austin
Ambulance Service Provider · Austin, TX
26124
Jose Mejia
Cardiology · West Lake Hills, TX
25350
John Barkley
Diagnostic Radiology · Austin, TX
23130
Matthew Anderson
Pulmonary Disease · Austin, TX
22306
SHUFORD, JENNIFER22163
Lindsey Fogle
Internal Medicine · Houston, TX
22177
Michael Grad
Interventional Cardiology · Austin, TX
20134
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
60976
ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP45270
Jeffrey Sheneman
Diagnostic Radiology · Austin, TX
43233
American Medical Response Of Texas Inc
Ambulance Service Provider · Austin, TX
35214
MICHEL, ANDREA28159
James Shane
Internal Medicine · Austin, TX
21341
Richard Panethere
Internal Medicine · Austin, TX
20199
Vivian Pugh
Internal Medicine · Houston, TX
20273
Matthew Anderson
Pulmonary Disease · Austin, TX
19166
SEPEHRI, SOGOL19131
WELCH, BYRON17248
Cristian Cipleu
Nephrology · Austin, TX
17184
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
495
Unique beneficiaries
—
Total services
701
Distinct HCPCS
9
Medicare payment
$54K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 425 Infectious Disease providers in TX — top quintile (cohort median 589).
PRESCRIBING · PART D · 2024
Total Rx claims
614
Beneficiaries
—
Total drug cost
$927K
Distinct drugs
20
Brand share
56.4%
Top prescribed drugs
Bictegrav/Emtricit/Tenofov Ala89 claims
Abacavir/Dolutegravir/Lamivudi53 claims
Cephalexin52 claims
Dolutegravir Sodium51 claims
Emtricitabine/Tenofov Alafenam41 claims
QUALITY · MIPS · 2024
Final MIPS score
65.4
Quality
48.0
Cost
87.4
Improvement activities
20.0
Promoting interop.
0.0
Payment adjustment
-1.15%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$436
Payment records
20
By payment type
Food and Beverage$436