PROVIDER PROFILE · NPI 1609096486

James RachelMD

PRACTICETHE ORTHOPAEDIC GROUP, PCSee all providers at this practice →

Orthopedic SurgeryMobile, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,549

Unique beneficiaries

—

Total services

2,116

Distinct HCPCS

Medicare payment

$98K

Peer benchmark

Total Medicare services vs. 334 Orthopedic Surgery providers in AL — above median (cohort median 2,095).

PRESCRIBING · PART D · 2024

Total Rx claims

439

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

52.8%

Top prescribed drugs

Hydrocodone/Acetaminophen192 claims

Methylprednisolone70 claims

Oxycodone Hcl/Acetaminophen40 claims

Doxycycline Hyclate38 claims

Tramadol Hcl32 claims

QUALITY · MIPS · 2024

Final MIPS score

88.5

Quality

86.5

Cost

72.6

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.57%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$78

Payment records

By payment type

Food and Beverage$78

REFERRAL NETWORK

Where James Rachel'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	43	136
Kayla Clemons Nurse Practitioner · Mobile, AL	33	66
James Courtney Diagnostic Radiology · Mobile, AL	16	33
Kenneth Batten Diagnostic Radiology · Mobile, AL	15	41
Christopher Nichols Physical Medicine and Rehabilitation · Fort Wayne, IN	14	45
Newmans Medical Services, Inc Ambulance Service Provider · Mobile, AL	14	48
LIFEGUARD AMBULANCE SERVICE LLC	14	48
David Hassell Diagnostic Radiology · Mobile, AL	12	32
Lewis Coumanis Interventional Radiology · Mobile, AL	12	23
George Martindale Diagnostic Radiology · Mobile, AL	11	38

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