What is James Upshaw's specialty?

James Upshaw (NPI 1740252170) is a Medicare-billing provider whose primary specialty is Internal Medicine in Macon, GA.

Where does James Upshaw practice?

James Upshaw practices in Macon, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1740252170.

How much does Medicare pay James Upshaw?

James Upshaw (NPI 1740252170) received approximately $477K in total Medicare Part B payments, serving 549 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1740252170

James UpshawM.D.

PRACTICEINTERNAL MEDICINE ASSOCIATES, P.C.See all providers at this practice →

Internal MedicineMacon, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

10,054

Unique beneficiaries

—

Total services

17,414

Distinct HCPCS

Medicare payment

$464K

Peer benchmark

Total Medicare services vs. 2,751 Internal Medicine providers in GA — top quintile (cohort median 670).

PRESCRIBING · PART D · 2024

Total Rx claims

11,825

Beneficiaries

—

Total drug cost

$880K

Distinct drugs

146

Brand share

19.4%

Top prescribed drugs

Atorvastatin Calcium724 claims

Amlodipine Besylate698 claims

Levothyroxine Sodium476 claims

Rosuvastatin Calcium392 claims

Metoprolol Succinate388 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

100.0

Cost

82.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$425

Payment records

By payment type

Food and Beverage$425

Top paying entities

Food and Beverage$425

REFERRAL NETWORK

Where James Upshaw'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). 28 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	312	1,852
THE MEDICAL CENTER OF CENTRAL GEORGIA INC	115	512
Mark Barrow Diagnostic Radiology · Macon, GA	80	292
Carol Collings Diagnostic Radiology · Macon, GA	72	253
OLIVER, THOMAS	39	131
Miguel Fernandez Diagnostic Radiology · Orlando, FL	27	87
Mgas Holdings, Llc Ambulance Service Provider · Macon, GA	24	101
Charles Wells Neurology · Macon, GA	18	86
KELLUM, CHARLES	17	51
Raquel Deguzman Internal Medicine · Macon, GA	17	89
DOROGY, MARK	16	67
AMEDISYS GEORGIA, L.L.C.	15	77

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events