PROVIDER PROFILE · NPI 1659330272

James LodenM.D.

OphthalmologyGoodlettsville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,333

Unique beneficiaries

—

Total services

3,373

Distinct HCPCS

Medicare payment

$521K

Peer benchmark

Total Medicare services vs. 326 Ophthalmology providers in TN — above median (cohort median 2,504).

PRESCRIBING · PART D · 2024

Total Rx claims

272

Beneficiaries

—

Total drug cost

$42K

Distinct drugs

Brand share

51.1%

Top prescribed drugs

Latanoprost48 claims

Netarsudil Mesylat/Latanoprost30 claims

Bromfenac Sodium29 claims

Timolol Maleate25 claims

Dorzolamide Hcl/Timolol Maleat22 claims

QUALITY · MIPS · 2024

Final MIPS score

91.1

Quality

94.7

Cost

77.4

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.68%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$952

Payment records

By payment type

Food and Beverage$952

REFERRAL NETWORK

Where James Loden'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NASHVILLE TN OPHTHALMOLOGY ASC LLC	206	811
Katie Mills Ophthalmology · Goodlettsville, TN	23	57
Robert Hamilton Certified Registered Nurse Anesthetist (CRNA) · Nashville, TN	21	54
Tonya Reynoldson Optometry · Waverly, TN	17	81
VANDERBILT UNIVERSITY MEDICAL CENTER	15	39
Pathgroup Labs, Llc Clinical Laboratory · Nashville, TN	13	40
SPIVEY, AARON	13	50
HCA HEALTH SERVICES OF TENNESSEE, INC.	11	35

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