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PROVIDER PROFILE · NPI 1447231311

James MadisonDO

Internal MedicineTahlequah, OKI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
318
Unique beneficiaries
—
Total services
588
Distinct HCPCS
5
Medicare payment
$40K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 642 Internal Medicine providers in OK — below median (cohort median 885).
PRESCRIBING · PART D · 2024
Total Rx claims
198
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
10
Brand share
21.2%
Top prescribed drugs
Furosemide32 claims
Pantoprazole Sodium30 claims
Cefuroxime Axetil26 claims
Prednisone21 claims
Cefdinir18 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14
Payment records
1
By payment type
Food and Beverage$14
REFERRAL NETWORK

Where James Madison'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). 30 inbound referrers · 51 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTHEASTERN HEALTH SYSTEM1921,206
NPI 12553355351131,322
CHEROKEE NATION95786
ST JOHN MEDICAL CENTER INC94566
NPI 101399000182908
James Pham
Diagnostic Radiology · Tulsa, OK
38168
Kenneth Phillips
Emergency Medicine · Tulsa, OK
29146
Peter Mostert
Diagnostic Radiology · Tulsa, OK
2590
PLATTE DIALYSIS LLC25413
Chelsea Mcgee
Cardiology · Wagoner, OK
2473
HOBBS, PAUL20131
BALLEW, JASON19102
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHEASTERN HEALTH SYSTEM142884
NPI 12553355351161,091
PLATTE DIALYSIS LLC942,031
ST JOHN MEDICAL CENTER INC93442
CHEROKEE NATION87698
NPI 101399000175649
Kelly Cole
Diagnostic Radiology · Jackson, MS
69314
NPI 157852318940131
John Fell
Family Practice · Pryor, OK
37161
James Pham
Diagnostic Radiology · Tulsa, OK
36135
PLATTE DIALYSIS LLC32244
Patrick O'hayre
Diagnostic Radiology · Tulsa, OK
2879
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.