What is James Splichal's specialty?

James Splichal (NPI 1588619142) is a Medicare-billing provider whose primary specialty is Hematology-Oncology in Athens, GA.

Where does James Splichal practice?

James Splichal practices in Athens, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1588619142.

How much does Medicare pay James Splichal?

James Splichal (NPI 1588619142) received approximately $4.1M in total Medicare Part B payments, serving 1,021 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1588619142

James SplichalM.D.

Hematology-OncologyAthens, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

6,152

Unique beneficiaries

—

Total services

75,548

Distinct HCPCS

Medicare payment

$2.0M

Peer benchmark

Total Medicare services vs. 236 Hematology-Oncology providers in GA — top quintile (cohort median 1,046).

PRESCRIBING · PART D · 2024

Total Rx claims

2,730

Beneficiaries

—

Total drug cost

$4.9M

Distinct drugs

Brand share

44.6%

Top prescribed drugs

Anastrozole329 claims

Epoetin Alfa265 claims

Acyclovir206 claims

Apixaban134 claims

Hydrocodone/Acetaminophen99 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

18.2

Cost

73.8

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

149

By payment type

Food and Beverage$3K

Long term medical supply or device loan$583

Top paying entities

Food and Beverage$3K

Long term medical supply or device loan$583

REFERRAL NETWORK

Where James Splichal'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). 78 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.	423	3,558
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	421	2,818
Petros Nikolinakos Medical Oncology · Athens, GA	149	1,154
HERRINGTON, WILLIAM	117	525
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	115	503
MONROE HMA, LLC	103	865
RHODES, ROBERT	102	437
Clifford Smith Diagnostic Radiology · Athens, GA	53	205
Ronald Walpert Diagnostic Radiology · Athens, GA	47	217
Steve Bramlet Diagnostic Radiology · Athens, GA	45	184
Gordon Schoenfeld Radiation Oncology · Athens, GA	44	2,988
Jon Horn Diagnostic Radiology · Gainesville, GA	43	283

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