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PROVIDER PROFILE · NPI 1639356025

James AnthonyMD

Pulmonary DiseaseValparaiso, INI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,287
Unique beneficiaries
—
Total services
2,577
Distinct HCPCS
15
Medicare payment
$181K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 232 Pulmonary Disease providers in IN — top quintile (cohort median 828).
PRESCRIBING · PART D · 2024
Total Rx claims
3,240
Beneficiaries
—
Total drug cost
$1.7M
Distinct drugs
32
Brand share
69.4%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter534 claims
Albuterol Sulfate502 claims
Prednisone226 claims
Montelukast Sodium222 claims
Fluticasone/Vilanterol193 claims
QUALITY · MIPS · 2024
Final MIPS score
90.7
Quality
76.2
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.66%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$781
Payment records
27
By payment type
Food and Beverage$781
REFERRAL NETWORK

Where James Anthony'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). 90 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PORTER HOSPITAL LLC6763,111
Jeffrey Huth
Diagnostic Radiology · Valparaiso, IN
3221,405
Douglas Mazurek
Critical Care (Intensivists) · Valparaiso, IN
3211,462
Omar Barakat
Diagnostic Radiology · Valparaiso, IN
2991,379
James Forde
Diagnostic Radiology · Valparaiso, IN
2891,008
Steven Hossler
Diagnostic Radiology · Fort Wayne, IN
2701,307
Esther Lee
Diagnostic Radiology · Valparaiso, IN
230788
Vivek Mishra
Diagnostic Radiology · Laporte, IN
222718
Keith Atassi
Cardiology · Valparaiso, IN
122496
Aj Pampalone
Internal Medicine · Valparaiso, IN
116833
Akram Kholoki
Cardiology · Valparaiso, IN
106334
Jay Shah
Cardiology · Valparaiso, IN
105279
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.