PROVIDER PROFILE · NPI 1720009525

James MaiselM.D.

OphthalmologyHicksville, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,485

Unique beneficiaries

—

Total services

96,173

Distinct HCPCS

Medicare payment

$4.1M

Peer benchmark

Total Medicare services vs. 1,438 Ophthalmology providers in NY — top quintile (cohort median 1,869).

PRESCRIBING · PART D · 2024

Total Rx claims

297

Beneficiaries

—

Total drug cost

$27K

Distinct drugs

Brand share

39.4%

Top prescribed drugs

Dorzolamide Hcl/Timolol Maleat87 claims

Latanoprost87 claims

Bromfenac Sodium21 claims

Difluprednate21 claims

Brimonidine Tartrate19 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

100.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$1K

Top paying entities

Consulting Fee$2K

Food and Beverage$1K

REFERRAL NETWORK

Where James Maisel'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

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Melville, NY	111	392
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	84	370
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	66	120
NORTH SHORE UNIVERSITY HOSPITAL	56	115
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	34	133
Rodney Coe Ophthalmology · Bayside, NY	30	64
ENZO CLINICAL LABS, INC.	29	68
NPI 1265587000	24	136
Stephanie Becker Ophthalmology · Hicksville, NY	19	34
ST. FRANCIS HOSPITAL	17	36
MOUNT SINAI HOSPITAL	16	27
JOHN T. MATHER MEMORIAL HOSPITAL	15	43

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