PROVIDER PROFILE · NPI 1992717037

James CaplanM.D.

PRACTICECEDARS-SINAI MEDICAL FOUNDATIONSee all providers at this practice →

Pulmonary DiseaseBeverly Hills, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

410

Unique beneficiaries

—

Total services

609

Distinct HCPCS

Medicare payment

$67K

Peer benchmark

Total Medicare services vs. 901 Pulmonary Disease providers in CA — below median (cohort median 927).

PRESCRIBING · PART D · 2024

Total Rx claims

2,014

Beneficiaries

—

Total drug cost

$895K

Distinct drugs

Brand share

71.0%

Top prescribed drugs

Albuterol Sulfate260 claims

Tiotropium Bromide200 claims

Montelukast Sodium171 claims

Fluticasone/Umeclidin/Vilanter125 claims

Budesonide/Formoterol Fumarate94 claims

QUALITY · MIPS · 2024

Final MIPS score

89.1

Quality

84.8

Cost

73.2

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.60%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$289

Payment records

By payment type

Food and Beverage$289

REFERRAL NETWORK

Where James Caplan'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). 13 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Stephen Deutsch Internal Medicine · Beverly Hills, CA	42	188
Unilab Corporation Clinical Laboratory · West Hills, CA	38	185
Raj Khandwalla Cardiology · Beverly Hills, CA	22	134
City Of Los Angeles Ambulance Service Provider · Los Angeles, CA	20	46
Alessandro Dagnolo Diagnostic Radiology · Los Angeles, CA	19	56
Elton Tourje Diagnostic Radiology · Los Angeles, CA	18	39
Katherine Haker Diagnostic Radiology · Los Angeles, CA	17	77
Jason Aaronson Diagnostic Radiology · Los Angeles, CA	17	48
STRICKE, LESLIE	14	27
Cindy Kallman Diagnostic Radiology · Los Angeles, CA	12	47
Willis Wagner Vascular Surgery · Los Angeles, CA	12	58
NPI 1174689590	11	45

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