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PROVIDER PROFILE · NPI 1518964873

James NelsonM.D.

Family PracticeAlbany, GAI
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.
PRESCRIBING · PART D · 2024
Total Rx claims
145
Beneficiaries
—
Total drug cost
$20K
Distinct drugs
8
Brand share
14.5%
Top prescribed drugs
Atorvastatin Calcium26 claims
Semaglutide21 claims
Metformin Hcl19 claims
Gabapentin18 claims
Azithromycin17 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Nelson'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). 25 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LAKE WALES HOSPITAL CORPORATION28611,219
Boris Nunez
Cardiology · Lake Wales, FL
55413
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
54260
Galen Le
Diagnostic Radiology · Lakeland, FL
42183
WINTER HAVEN HOSPITAL INC42284
Roy Braunstein
Ophthalmology · Lake Wales, FL
3888
Fred Howard
General Surgery · Lake Wales, FL
324,031
Kollagunta Chandrasekhar
Cardiology · Winter Haven, FL
32139
Donald Durrance
Diagnostic Radiology · Tampa, FL
27113
Siva Bhashyam
Cardiology · Winter Haven, FL
24136
SCHMIDT, JODIE2285
Carolyn Pass
Internal Medicine · Lake Wales, FL
21997
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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
83
Unique beneficiaries
—
Total services
87
Distinct HCPCS
3
Medicare payment
$6K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,265 Family Practice providers in GA — bottom quintile (cohort median 688).