PROVIDER PROFILE · NPI 1922234970

James WilsonMD

Physical Medicine and RehabilitationAugusta, MEI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

269

Unique beneficiaries

—

Total services

610

Distinct HCPCS

Medicare payment

$37K

Peer benchmark

Total Medicare services vs. 32 Physical Medicine and Rehabilitation providers in ME — above median (cohort median 586).

PRESCRIBING · PART D · 2024

Total Rx claims

3,963

Beneficiaries

—

Total drug cost

$569K

Distinct drugs

Brand share

37.8%

Top prescribed drugs

Oxycodone Hcl592 claims

Morphine Sulfate400 claims

Buprenorphine Hcl242 claims

Fentanyl239 claims

Buprenorphine238 claims

QUALITY · MIPS · 2024

Final MIPS score

86.2

Quality

75.4

Cost

75.3

Improvement activities

40.0

Promoting interop.

84.0

Payment adjustment

0.47%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$67

Payment records

By payment type

Food and Beverage$67

REFERRAL NETWORK

Where James Wilson'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). 19 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Carmen Ackerson Nurse Practitioner · Augusta, ME	83	382
John Shonk Physical Medicine and Rehabilitation · Colorado Springs, CO	75	355
PELLETIER, DENYSE	71	306
EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL	56	298
RAQUE, JAMES	45	138
BUCKSBAUM, MARK	38	287
Eric Stram Diagnostic Radiology · Augusta, ME	32	90
REDINGTON-FAIRVIEW GENERAL HOSPITAL	31	199
Christopher Mahoney Diagnostic Radiology · Augusta, ME	28	64
CARUSO, THOMAS	26	88
Nordx Clinical Laboratory · Scarborough, ME	26	113
SEBASTICOOK VALLEY HEALTH	22	195

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