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PROVIDER PROFILE · NPI 1619949872

James GamacheMD

PRACTICEDR. HOFFMAN & ASSOCIATES, P.A.See all providers at this practice →
Emergency MedicineSpirit Lake, IAI
CROSS-REFERENCE

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ProviderScore
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
48
Unique beneficiaries
—
Total services
50
Distinct HCPCS
3
Medicare payment
$4K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 334 Emergency Medicine providers in IA — bottom quintile (cohort median 314).
PRESCRIBING · PART D · 2024
Total Rx claims
42
Beneficiaries
—
Total drug cost
$170
Distinct drugs
3
Brand share
33.3%
Top prescribed drugs
Azithromycin14 claims
Ondansetron14 claims
Prednisone14 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Gamache'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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SPENCER MUNICIPAL HOSPITAL166608
Casey Shaffer
Diagnostic Radiology · Cedar Rapids, IA
118332
CROUCH, CHARLES105282
Jeffrey Goerss
Family Practice · Spirit Lake, IA
85351
Brett Olson
Family Practice · Spirit Lake, IA
31210
Kelli Roenfanz
Family Practice · Des Moines, IA
23138
Timothy Taylor
Emergency Medicine · Spirit Lake, IA
21130
Zachary Borus
Family Practice · Spirit Lake, IA
20131
John Hilsabeck
Family Practice · Spencer, IA
2080
Travis Witt
Family Practice · Spencer, IA
1974
HEART HOSPITAL OF SOUTH DAKOTA LLC1848
Andrew Obamwonyi
Emergency Medicine · Robins Air Force Base, GA
16101
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.