PROVIDER PROFILE · NPI 1790746907

J Paul MarcouxMD

Medical OncologyBoston, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

358

Unique beneficiaries

—

Total services

779

Distinct HCPCS

Medicare payment

$91K

Peer benchmark

Total Medicare services vs. 257 Medical Oncology providers in MA — top quintile (cohort median 290).

PRESCRIBING · PART D · 2024

Total Rx claims

368

Beneficiaries

—

Total drug cost

$1.9M

Distinct drugs

Brand share

44.6%

Top prescribed drugs

Gabapentin55 claims

Osimertinib Mesylate45 claims

Dexamethasone44 claims

Ondansetron27 claims

Lorlatinib26 claims

QUALITY · MIPS · 2024

Final MIPS score

84.1

Quality

65.0

Cost

69.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.38%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where J Paul Marcoux'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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Nikhil Ramaiya Diagnostic Radiology · West Palm Beach, FL	32	119
Rachna Madan Diagnostic Radiology · Boston, MA	31	145
Francine Jacobson Diagnostic Radiology · Roanoke, VA	29	154
Jyothipriya Jagannathan Diagnostic Radiology · Jamaica Plain, MA	26	71
Lucian Chirieac Pathology · Boston, MA	22	65
Ritu Gill Diagnostic Radiology · New York, NY	21	100
Lynette Sholl Pathology · Boston, MA	18	49
Quest Diagnostics Massachusetts Llc Clinical Laboratory · Marlborough, MA	14	43
SAINANI, NISHA	14	138
Boston Public Health Commission Ambulance Service Provider · Boston, MA	13	38
MASS GENERAL BRIGHAM HOME CARE, INC.	11	82
KIM, CHUN	11	26

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