What is Andrew James's specialty?

Andrew James (NPI 1871586321) is a Medicare-billing provider whose primary specialty is Certified Clinical Nurse Specialist in Columbia, MO.

Where does Andrew James practice?

Andrew James practices in Columbia, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1871586321.

How much does Medicare pay Andrew James?

Andrew James (NPI 1871586321) received approximately $1.8M in total Medicare Part B payments, serving 957 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1871586321

Andrew JamesAPRN-BC

PRACTICECOLUMBIA ORTHOPAEDIC GROUPSee all providers at this practice →

Certified Clinical Nurse SpecialistColumbia, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,292

Unique beneficiaries

—

Total services

121,763

Distinct HCPCS

Medicare payment

$1.8M

Peer benchmark

Total Medicare services vs. 56 Certified Clinical Nurse Specialist providers in MO — top quintile (cohort median 249).

PRESCRIBING · PART D · 2024

Total Rx claims

616

Beneficiaries

—

Total drug cost

$1.0M

Distinct drugs

Brand share

61.0%

Top prescribed drugs

Abaloparatide191 claims

Alendronate Sodium170 claims

Denosumab81 claims

Teriparatide53 claims

Romosozumab-Aqqg33 claims

QUALITY · MIPS · 2024

Final MIPS score

88.1

Quality

24.3

Cost

71.1

Improvement activities

40.0

Promoting interop.

86.0

Payment adjustment

0.55%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$7K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$5K

Travel and Lodging$2K

Food and Beverage$609

Education$16

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$5K

Travel and Lodging$2K

Food and Beverage$609

Education$16

REFERRAL NETWORK

Where Andrew James'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). 21 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
BOYCE - BYNUM PATHOLOGY LABORATORIES, INC	214	511
CLARK, JENNIFER	85	107
Laura Sievert Diagnostic Radiology · Columbia, MO	55	79
TELLERMAN, BARBARA	54	71
Maxwell Lazinger Diagnostic Radiology · Columbia, MO	52	70
Terry Elwing Diagnostic Radiology · Columbia, MO	49	71
Alan Anz Orthopedic Surgery · Columbia, MO	45	198
Lance Faler Diagnostic Radiology · Cape Girardeau, MO	45	63
Neal Meyer Diagnostic Radiology · Columbia, MO	45	69
Scott Doyle Certified Registered Nurse Anesthetist (CRNA) · Columbia, MO	37	41
Grant Darkow Pathology · Columbia, MO	26	27
Kathleen Ketchum Physician Assistant · Columbia, MO	26	27

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