What is James Hays's specialty?

James Hays (NPI 1912970161) is a Medicare-billing provider whose primary specialty is Ophthalmology in Atlanta, GA.

Where does James Hays practice?

James Hays practices in Atlanta, GA, based on the location reported in the CMS Medicare provider datasets for NPI 1912970161.

How much does Medicare pay James Hays?

James Hays (NPI 1912970161) received approximately $178K in total Medicare Part B payments, serving 401 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1912970161

James HaysMD

PRACTICEJONATHAN WOOLFSON, MD, PCSee all providers at this practice →

OphthalmologyAtlanta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

815

Unique beneficiaries

—

Total services

1,002

Distinct HCPCS

Medicare payment

$139K

Peer benchmark

Total Medicare services vs. 428 Ophthalmology providers in GA — below median (cohort median 1,999).

PRESCRIBING · PART D · 2024

Total Rx claims

1,132

Beneficiaries

—

Total drug cost

$562K

Distinct drugs

Brand share

33.9%

Top prescribed drugs

Prednisolone Acetate372 claims

Moxifloxacin Hcl226 claims

Diclofenac Sodium84 claims

Latanoprost63 claims

Timolol Maleate53 claims

QUALITY · MIPS · 2024

Final MIPS score

85.8

Quality

81.2

Cost

78.2

Improvement activities

40.0

Promoting interop.

92.0

Payment adjustment

0.46%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$949

Payment records

By payment type

Food and Beverage$949

Top paying entities

Food and Beverage$949

REFERRAL NETWORK

Where James Hays'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). 15 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Woolfson Ambulatory Surgery Center, Llc Ambulatory Surgical Center · Atlanta, GA	338	1,443
James Purdie Anesthesiology · Savannah, GA	138	388
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	53	112
NPI 1275529380	48	231
NORTHSIDE HOSPITAL, INC.	42	100
Gregory Williamson Optometry · Tyrone, GA	40	140
Steven Leff Ophthalmology · Atlanta, GA	35	62
Douglas Day Ophthalmology · Atlanta, GA	25	47
Punit Bhakta Optometry · Peachtree City, GA	24	46
BOWSER, SCOTT	23	40
Jennifer Marshall Anesthesiology · Morrow, GA	21	67
Nikova Mason Anesthesiology · Augusta, GA	21	44

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