What is James Prise's specialty?

James Prise (NPI 1932134806) is a Medicare-billing provider whose primary specialty is Family Practice in Shawnee, OK.

Where does James Prise practice?

James Prise practices in Shawnee, OK, based on the location reported in the CMS Medicare provider datasets for NPI 1932134806.

How much does Medicare pay James Prise?

James Prise (NPI 1932134806) received approximately $3K in total Medicare Part B payments, serving 40 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1932134806

James PriseMD

PRACTICECITIZEN POTAWATOMI NATIONSee all providers at this practice →

Family PracticeShawnee, OKI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$777

Peer benchmark

Total Medicare services vs. 1,266 Family Practice providers in OK — bottom quintile (cohort median 833).

PRESCRIBING · PART D · 2024

Total Rx claims

1,072

Beneficiaries

—

Total drug cost

$105K

Distinct drugs

Brand share

33.2%

Top prescribed drugs

Levothyroxine Sodium56 claims

Rosuvastatin Calcium48 claims

Tamsulosin Hcl42 claims

Metoprolol Succinate40 claims

Pantoprazole Sodium39 claims

QUALITY · MIPS · 2024

Final MIPS score

90.9

Quality

76.5

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.67%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Prise'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
SSM HEALTH CARE OF OKLAHOMA, INC.	344	1,691
Alisha Smith Nurse Practitioner · Harrah, OK	55	246
OKLAHOMA HEART HOSPITAL, LLC	42	116
Chester Beam Diagnostic Radiology · Oklahoma City, OK	15	36
Phung Luong Diagnostic Radiology · Oklahoma City, OK	15	29
Asim Chohan Cardiology · Midwest City, OK	15	40
Nabhan Alnabhan Interventional Cardiology · Oklahoma City, OK	11	38

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