PROVIDER PROFILE · NPI 1841293826

James RialM.D.

PRACTICEATLANTIC RETINA CENTER, P.A.See all providers at this practice →

OphthalmologySalisbury, MDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

6,619

Unique beneficiaries

—

Total services

98,040

Distinct HCPCS

Medicare payment

$4.9M

Peer benchmark

Total Medicare services vs. 447 Ophthalmology providers in MD — top quintile (cohort median 2,862).

PRESCRIBING · PART D · 2024

Total Rx claims

548

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

21.0%

Top prescribed drugs

Latanoprost141 claims

Prednisolone Acetate128 claims

Dorzolamide Hcl/Timolol Maleat115 claims

Ketorolac Tromethamine97 claims

Brimonidine Tartrate51 claims

QUALITY · MIPS · 2024

Final MIPS score

80.9

Quality

81.0

Cost

71.3

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.25%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$368

Payment records

By payment type

Food and Beverage$368

REFERRAL NETWORK

Where James Rial'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). 74 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	213	382
BAYHEALTH MEDICAL CENTER, INC.	87	177
SHORE HEALTH SYSTEM, INC	82	220
ATLANTIC GENERAL HOSPITAL CORPORATION	72	134
TIDALHEALTH NANTICOKE, INC	70	169
BAYHEALTH MEDICAL CENTER, INC.	58	146
Paul Lagonigro Ophthalmology · Salisbury, MD	49	125
Jeffrey Mccann Diagnostic Radiology · Lewes, DE	40	54
Ramon Rosa Cardiology · Lewes, DE	31	92
Kevin Thomas Podiatry · Salisbury, MD	26	69
Mitchell Stickler Dermatology · Lewes, DE	26	49
Bradley Lemon Podiatry · Seaford, DE	25	42

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