PROVIDER PROFILE · NPI 1760416879

James SextonMD

Internal MedicineSyracuse, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

155

Distinct HCPCS

Medicare payment

$22K

Peer benchmark

Total Medicare services vs. 7,864 Internal Medicine providers in NY — bottom quintile (cohort median 552).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$20K

Distinct drugs

Brand share

100.0%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter15 claims

QUALITY · MIPS · 2024

Final MIPS score

86.4

Quality

64.1

Cost

78.1

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.48%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Sexton'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). 40 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Rolf Grage Diagnostic Radiology · Jacksonville, FL	95	596
Eastern Paramedics Inc Ambulance Service Provider · Syracuse, NY	72	246
Jennifer Knutsen Diagnostic Radiology · Edina, MN	55	200
Laboratory Alliance Of Central New York, Llc Clinical Laboratory · Liverpool, NY	48	193
Brian Changlai Cardiology · Manlius, NY	47	139
Kan Liu Cardiology · Saint Louis, MO	45	167
Birendra Sah Pulmonary Disease · Syracuse, NY	40	203
Tanya George Internal Medicine · Syracuse, NY	32	137
POSTER, ROBERT	31	83
Hani Kozman Cardiology · Syracuse, NY	28	75
Andrij Wojtowycz Diagnostic Radiology · Syracuse, NY	28	71
Dana Savici Pulmonary Disease · Syracuse, NY	27	234

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