PROVIDER PROFILE · NPI 1558523191

James DoeMD

PRACTICEEL RIO HEALTH CENTERSee all providers at this practice →

Internal MedicineTucson, AZI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

434

Unique beneficiaries

—

Total services

572

Distinct HCPCS

Medicare payment

$45K

Peer benchmark

Total Medicare services vs. 1,880 Internal Medicine providers in AZ — above median (cohort median 646).

PRESCRIBING · PART D · 2024

Total Rx claims

4,041

Beneficiaries

—

Total drug cost

$390K

Distinct drugs

Brand share

17.2%

Top prescribed drugs

Atorvastatin Calcium394 claims

Lisinopril256 claims

Amlodipine Besylate217 claims

Gabapentin165 claims

Levothyroxine Sodium163 claims

QUALITY · MIPS · 2024

Final MIPS score

93.3

Quality

74.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.77%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Doe'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). 2 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC	121	417
CARONDELET HEALTH NETWORK	63	247

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