PROVIDER PROFILE · NPI 1477714889

James SpainMD

PRACTICEBALDWIN BONE & JOINT P CSee all providers at this practice →

Family PracticeDaphne, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,070

Unique beneficiaries

—

Total services

3,155

Distinct HCPCS

Medicare payment

$155K

Peer benchmark

Total Medicare services vs. 1,250 Family Practice providers in AL — top quintile (cohort median 957).

PRESCRIBING · PART D · 2024

Total Rx claims

306

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

9.2%

Top prescribed drugs

Celecoxib106 claims

Cyclobenzaprine Hcl61 claims

Gabapentin42 claims

Methylprednisolone29 claims

Tramadol Hcl23 claims

QUALITY · MIPS · 2024

Final MIPS score

75.0

Quality

0.0

Cost

0.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

0.00%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$184

Payment records

By payment type

Food and Beverage$184

REFERRAL NETWORK

Where James Spain'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). 3 inbound referrers · 10 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
James Guerra Orthopedic Surgery · Naples, FL	42	86
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	29	50
NAPLES HMA LLC	23	66

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
James Guerra Orthopedic Surgery · Naples, FL	99	218
NAPLES COMMUNITY HOSPITAL INC	69	170
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tampa, FL	48	110
Gilbert Maulsby Diagnostic Radiology · Cincinnati, OH	31	40
Adam Olmsted Diagnostic Radiology · Cincinnati, OH	31	34
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	30	53
NAPLES HMA LLC	28	53
NAPLES DAY SURGERY LLC	28	37
Mark Bucci Physician Assistant · Naples, FL	19	23
Naples Pathology Associates Pa Clinical Laboratory · Naples, FL	16	20

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history