What is James Pavelka's specialty?

James Pavelka (NPI 1861521460) is a Medicare-billing provider whose primary specialty is Gynecological Oncology in Cincinnati, OH.

Where does James Pavelka practice?

James Pavelka practices in Cincinnati, OH, based on the location reported in the CMS Medicare provider datasets for NPI 1861521460.

How much does Medicare pay James Pavelka?

James Pavelka (NPI 1861521460) received approximately $52K in total Medicare Part B payments, serving 130 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1861521460

James PavelkaM.D.

PRACTICETRIHEALTH W. LLCSee all providers at this practice →

Gynecological OncologyCincinnati, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

126

Unique beneficiaries

—

Total services

187

Distinct HCPCS

Medicare payment

$27K

Peer benchmark

Total Medicare services vs. 41 Gynecological Oncology providers in OH — below median (cohort median 432).

PRESCRIBING · PART D · 2024

Total Rx claims

121

Beneficiaries

—

Total drug cost

$222K

Distinct drugs

Brand share

12.4%

Top prescribed drugs

Oxycodone Hcl43 claims

Prochlorperazine Maleate20 claims

Megestrol Acetate19 claims

Olaparib15 claims

Dexamethasone12 claims

QUALITY · MIPS · 2024

Final MIPS score

93.0

Quality

86.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Pavelka'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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
St Elizabeth Medical Center, Inc Portable X-Ray Supplier · Edgewood, KY	91	684
BETHESDA HOSPITAL INC	21	68
Jack Basil Gynecological Oncology · Cincinnati, OH	18	70
LUBBERS, DAVID	14	38
Bradley Miller Diagnostic Radiology · Edgewood, KY	12	42
Elizabeth Gaitley Physician Assistant · Cincinnati, OH	11	46
MCCONNELL, CHARLES	11	32

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events