PROVIDER PROFILE · NPI 1588764153

James CongdonM.D.

PRACTICEUHS OF PENNSYLVANIA INCSee all providers at this practice →

PsychiatryAmbler, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

292

Distinct HCPCS

Medicare payment

$14K

Peer benchmark

Total Medicare services vs. 1,042 Psychiatry providers in PA — above median (cohort median 233).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$402

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Ropinirole Hcl13 claims

Quetiapine Fumarate11 claims

QUALITY · MIPS · 2024

Final MIPS score

84.2

Quality

78.4

Cost

70.2

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.39%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Congdon'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
UHS OF PENNSYLVANIA INC	66	165
NPI 1417007980	13	32

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