PROVIDER PROFILE · NPI 1740283431

James MalcolmM.D.

PRACTICEPINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLCSee all providers at this practice →

Orthopedic SurgeryMarietta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

251

Unique beneficiaries

—

Total services

394

Distinct HCPCS

Medicare payment

$20K

Peer benchmark

Total Medicare services vs. 640 Orthopedic Surgery providers in GA — bottom quintile (cohort median 2,020).

PRESCRIBING · PART D · 2024

Total Rx claims

384

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

20.8%

Top prescribed drugs

Celecoxib139 claims

Gabapentin88 claims

Hydrocodone/Acetaminophen34 claims

Promethazine Hcl25 claims

Tramadol Hcl23 claims

QUALITY · MIPS · 2024

Final MIPS score

73.3

Quality

52.3

Cost

74.7

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-0.20%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$27K

Payment records

By payment type

Consulting Fee$21K

Food and Beverage$3K

Travel and Lodging$3K

Royalty or License$298

REFERRAL NETWORK

Where James Malcolm'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). 13 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	31	70
NORTHSIDE HOSPITAL, INC.	22	38
Richard Woodcock Diagnostic Radiology · Atlanta, GA	22	48
COBB HOSPITAL, INC	17	47
Brian Gordon Diagnostic Radiology · Marietta, GA	15	33
Pinnacle Orthopaedics Surgery Center Woodstock, Llc Ambulatory Surgical Center · Woostock, GA	14	27
Stuart Resnick Diagnostic Radiology · Marietta, GA	14	43
Scott Wottrich Diagnostic Radiology · Marietta, GA	14	55
Matthew Grabowski Anesthesiology · Charleston, SC	12	48
NORTHSIDE HOSPITAL, INC.	11	16
Robert Pham Diagnostic Radiology · Marietta, GA	11	25
Thomas Hinz Diagnostic Radiology · Marietta, GA	11	22

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