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PROVIDER PROFILE · NPI 1801891593

James PillaD.O.

GastroenterologyMoon Township, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
447
Unique beneficiaries
—
Total services
504
Distinct HCPCS
11
Medicare payment
$50K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 771 Gastroenterology providers in PA — below median (cohort median 585).
REFERRAL NETWORK

Where James Pilla'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
PhysicianPatientsVisits
VALLEY MEDICAL FACILITIES, INC.53103
Three Rivers Endoscopy Center, Inc.
Ambulatory Surgical Center · Moon Township, PA
4559
Lawrence Collins
Anesthesiology · Pittsburgh, PA
3445
VALLEY MEDICAL FACILITIES INC3085
Leonard Deriggi
Diagnostic Radiology · Beaver, PA
2231
TUCHINDA, JALIT1944
Luke Stall
Diagnostic Radiology · Monaca, PA
1723
Felice Esposito
Diagnostic Radiology · Beaver, PA
1516
Nathan Johnson
Diagnostic Radiology · Monaca, PA
1424
John Jackson
Diagnostic Radiology · Sun City Center, FL
1420
David Gonzalez
Emergency Medicine · Pittsburgh, PA
1220
Craig Trent
Diagnostic Radiology · Beaver, PA
1224
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.
PRESCRIBING · PART D · 2024
Total Rx claims
830
Beneficiaries
—
Total drug cost
$279K
Distinct drugs
8
Brand share
60.4%
Top prescribed drugs
Sodium, Potassium,mag Sulfates255 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl166 claims
Omeprazole135 claims
Pantoprazole Sodium122 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl41 claims
QUALITY · MIPS · 2024
Final MIPS score
83.8
Quality
70.5
Cost
75.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.37%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.