What is Michael James's specialty?

Michael James (NPI 1538161609) is a Medicare-billing provider whose primary specialty is Internal Medicine in Raleigh, NC.

Where does Michael James practice?

Michael James practices in Raleigh, NC, based on the location reported in the CMS Medicare provider datasets for NPI 1538161609.

How much does Medicare pay Michael James?

Michael James (NPI 1538161609) received approximately $151K in total Medicare Part B payments, serving 572 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1538161609

Michael JamesM.D.

Internal MedicineRaleigh, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

954

Unique beneficiaries

—

Total services

1,991

Distinct HCPCS

Medicare payment

$142K

Peer benchmark

Total Medicare services vs. 2,554 Internal Medicine providers in NC — top quintile (cohort median 687).

PRESCRIBING · PART D · 2024

Total Rx claims

29,223

Beneficiaries

—

Total drug cost

$1.9M

Distinct drugs

253

Brand share

21.5%

Top prescribed drugs

Atorvastatin Calcium1,173 claims

Amlodipine Besylate1,150 claims

Apixaban1,079 claims

Gabapentin1,064 claims

Levothyroxine Sodium975 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$379

Payment records

By payment type

Food and Beverage$379

Top paying entities

Food and Beverage$379

REFERRAL NETWORK

Where Michael 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). 74 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
REX HOSPITAL INC.	262	1,311
SOLSTAS LAB PARTNERS GROUP LLC	143	1,260
Courtney Hines Nurse Practitioner · Concord, NC	143	379
UNIVERSAL HEALTH CARE / NORTH RALEIGH, INC	97	664
CARY HEALTHCARE LLC	91	462
IN HOME HEALTH LLC	88	408
PLANTAN, TAMMI	87	411
DUKE UNIVERSITY HEALTH SYSTEM INC	84	404
American Health S, Llc Clinical Laboratory · Davie, FL	75	1,104
First Choice Medical Transport, Llc Ambulance Service Provider · Cary, NC	74	218
UNIVERSAL HEALTH CARE / RALEIGH, INC	71	482
ZEBULON REHABILITATION CENTER, LLC	61	352

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events