PROVIDER PROFILE · NPI 1811911126

James CaldwellM.D.

Emergency MedicinePickens, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

237

Unique beneficiaries

—

Total services

259

Distinct HCPCS

Medicare payment

$16K

Peer benchmark

Total Medicare services vs. 958 Emergency Medicine providers in SC — below median (cohort median 413).

PRESCRIBING · PART D · 2024

Total Rx claims

818

Beneficiaries

—

Total drug cost

$10K

Distinct drugs

Brand share

32.5%

Top prescribed drugs

Hydrocodone/Acetaminophen94 claims

Azithromycin87 claims

Prednisone84 claims

Oxycodone Hcl/Acetaminophen77 claims

Cephalexin51 claims

QUALITY · MIPS · 2024

Final MIPS score

94.7

Quality

89.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.83%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$16

Payment records

By payment type

Food and Beverage$16

REFERRAL NETWORK

Where James Caldwell'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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CANNON MEMORIAL HOSPITAL	442	1,482
NEWBERRY COUNTY MEMORIAL HOSPITAL	121	340
DAVID, HAMER	79	165
Calvin Snipes Internal Medicine · Easley, SC	60	196
Newberry County Ems Ambulance Service Provider · Newberry, SC	50	120
Yashbir Rana Emergency Medicine · Duncan, SC	47	150
Lisa Harding Internal Medicine · Easley, SC	39	77
SWIGER, BARRY	38	84
FULCHER, JOHN	38	70
Bernard Masters Diagnostic Radiology · Greenville, SC	32	63
Edward Gize Diagnostic Radiology · Greenville, SC	30	51
Geanice Holton Internal Medicine · Easley, SC	30	73

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