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

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