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