PROVIDER PROFILE · NPI 1982642153

James LilleyM.D.

PRACTICEGAREY ORTHOPEDIC MEDICAL GROUPSee all providers at this practice →

Orthopedic SurgeryPomona, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,587

Unique beneficiaries

—

Total services

4,554

Distinct HCPCS

Medicare payment

$127K

Peer benchmark

Total Medicare services vs. 1,921 Orthopedic Surgery providers in CA — top quintile (cohort median 1,100).

PRESCRIBING · PART D · 2024

Total Rx claims

126

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

12.7%

Top prescribed drugs

Methylprednisolone70 claims

Gabapentin25 claims

Hydrocodone/Acetaminophen16 claims

Celecoxib15 claims

QUALITY · MIPS · 2024

Final MIPS score

85.7

Quality

75.8

Cost

75.4

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$144

Payment records

By payment type

Food and Beverage$144

Top paying entities

Food and Beverage$144

REFERRAL NETWORK

Where James Lilley'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). 11 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
POMONA VALLEY HOSPITAL MEDICAL CENTER	50	129
Unilab Corporation Clinical Laboratory · West Hills, CA	29	106
John Goffigan Diagnostic Radiology · Edina, MN	25	53
AKAMINE, JAMES	19	47
CANIZALES, CARLOS	16	30
Andrew Irons Physician Assistant · Burlington, NC	15	59
John Fagan Family Practice · Rancho Cucamonga, CA	12	36
Stuart Berry Diagnostic Radiology · Rancho Cucamonga, CA	12	27
Michael Chai Internal Medicine · Upland, CA	12	20
WARD, MICHELLE	11	23
PALENCHAR, BARTHOLOMEW	11	33

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