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PROVIDER PROFILE · NPI 1588619142

James SplichalM.D.

Hematology-OncologyAthens, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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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
PRESCRIBING · PART D · 2024
Total Rx claims
2,730
Beneficiaries
—
Total drug cost
$4.9M
Distinct drugs
65
Brand share
44.6%
Top prescribed drugs
Anastrozole329 claims
Epoetin Alfa265 claims
Acyclovir206 claims
Apixaban134 claims
Hydrocodone/Acetaminophen99 claims
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
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
6,152
Unique beneficiaries
—
Total services
75,548
Distinct HCPCS
71
Medicare payment
$2.0M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 236 Hematology-Oncology providers in GA — top quintile (cohort median 1,046).
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
PhysicianPatientsVisits
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.4233,558
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
4212,818
Petros Nikolinakos
Medical Oncology · Athens, GA
1491,154
HERRINGTON, WILLIAM117525
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
115503
MONROE HMA, LLC103865
RHODES, ROBERT102437
Clifford Smith
Diagnostic Radiology · Athens, GA
53205
Ronald Walpert
Diagnostic Radiology · Athens, GA
47217
Steve Bramlet
Diagnostic Radiology · Athens, GA
45184
Gordon Schoenfeld
Radiation Oncology · Athens, GA
442,988
Jon Horn
Diagnostic Radiology · Gainesville, GA
43283
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.