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PROVIDER PROFILE · NPI 1619031739

James HealdM.D.

PRACTICECHESTER COUNTY HOSPITALSee all providers at this practice →
PathologyWest Chester, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,092
Unique beneficiaries
—
Total services
1,822
Distinct HCPCS
14
Medicare payment
$53K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 593 Pathology providers in PA — above median (cohort median 1,465).
REFERRAL NETWORK

Where James Heald'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). 67 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CHESTER COUNTY HOSPITAL6761,393
Barry Smoger
Diagnostic Radiology · Philadelphia, PA
136201
William Barry
Diagnostic Radiology · West Chester, PA
103129
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
75120
David Bobman
Gastroenterology · West Chester, PA
51126
Rajesh Patel
Pulmonary Disease · Media, PA
50179
Matthew Baichi
Gastroenterology · West Chester, PA
4589
Umer Saleem
Cardiology · Cheyenne, WY
4557
ASHTON, WILLIAM4451
Jeffrey Gramp
Diagnostic Radiology · Radnor, PA
4247
Marc Romisher
Anesthesiology · King Of Prussia, PA
4142
Reina Bender
Gastroenterology · Westchester, PA
4196
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.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
90.9
Quality
92.5
Cost
79.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.67%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.