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PROVIDER PROFILE · NPI 1477530301

James BakerM.D.

RheumatologyJohnson City, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
121
By payment type
Food and Beverage$2K
PRESCRIBING · PART D · 2024
Total Rx claims
2,117
Beneficiaries
—
Total drug cost
$2.4M
Distinct drugs
25
Brand share
39.6%
Top prescribed drugs
Hydroxychloroquine Sulfate600 claims
Methotrexate Sodium486 claims
Prednisone278 claims
Folic Acid132 claims
Adalimumab80 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
980
Unique beneficiaries
—
Total services
1,886
Distinct HCPCS
15
Medicare payment
$45K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 96 Rheumatology providers in TN — above median (cohort median 2,318).
REFERRAL NETWORK

Where James Baker'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). 5 inbound referrers · 8 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Guy Robins
Family Practice · Johnson City, TN
182394
SOLSTAS LAB PARTNERS GROUP LLC181509
Summer Hopson
Nurse Practitioner · Johnson City, TN
2632
CRESCENDO BIOSCIENCE, INC1724
MOUNTAIN STATES HEALTH ALLIANCE1619
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MOUNTAIN STATES HEALTH ALLIANCE76154
Summer Hopson
Nurse Practitioner · Johnson City, TN
66104
SOLSTAS LAB PARTNERS GROUP LLC64163
Guy Robins
Family Practice · Johnson City, TN
46108
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
1327
CHUNG, SUE1318
MOUNTAIN STATES HEALTH ALLIANCE1222
LAUGHLIN MEMORIAL HOSPITAL, INC.1232
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.