PROVIDER PROFILE · NPI 1982781191

James HigginsM.D.

CardiologyEncino, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,720

Unique beneficiaries

—

Total services

4,341

Distinct HCPCS

Medicare payment

$403K

Peer benchmark

Total Medicare services vs. 1,869 Cardiology providers in CA — above median (cohort median 2,371).

PRESCRIBING · PART D · 2024

Total Rx claims

2,135

Beneficiaries

—

Total drug cost

$271K

Distinct drugs

Brand share

27.0%

Top prescribed drugs

Rosuvastatin Calcium162 claims

Atorvastatin Calcium148 claims

Apixaban133 claims

Furosemide129 claims

Carvedilol123 claims

QUALITY · MIPS · 2024

Final MIPS score

87.5

Quality

79.4

Cost

73.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.53%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$366

Payment records

By payment type

Food and Beverage$366

REFERRAL NETWORK

Where James Higgins'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). 138 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
City Of Los Angeles Ambulance Service Provider · Los Angeles, CA	333	999
Kevin Rice Diagnostic Radiology · Cape Girardeau, MO	230	1,676
SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC	208	352
Martin Schwartz Diagnostic Radiology · Los Angeles, CA	179	434
Jerrold Dreyer Infectious Disease · Sherman Oaks, CA	120	545
Balbir Singh Nephrology · Van Nuys, CA	118	752
NPI 1477689602	110	276
TRANS LIFE INC.	110	205
DIGNITY COMMUNITY CARE	100	187
Edwin Chung Internal Medicine · Port Charlotte, FL	95	545
Unilab Corporation Clinical Laboratory · West Hills, CA	91	248
Firstmed Ambulance Services, Inc. Ambulance Service Provider · Panorama City, CA	91	267

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