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