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PROVIDER PROFILE · NPI 1528052032

Richard JamesO.D.

OptometryEast Stroudsburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
72.3
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-0.33%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
83
Beneficiaries
—
Total drug cost
$27K
Distinct drugs
2
Brand share
49.4%
Top prescribed drugs
Cyclosporine41 claims
Latanoprost22 claims
Cyclosporine20 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,093
Unique beneficiaries
—
Total services
1,489
Distinct HCPCS
3
Medicare payment
$139K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,495 Optometry providers in PA — top quintile (cohort median 322).
REFERRAL NETWORK

Where Richard James'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). 48 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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NORTHEASTERN LABORATORY MEDICINE, INC.59158
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3168
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3138
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.