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PROVIDER PROFILE · NPI 1013005289

Kim FallonAPN

PRACTICEOCEANMHS PRIMARY CARE, INCSee all providers at this practice →
Nurse PractitionerBayville, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 310041
Hospital
CCN 310084
Hospital
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Kim Fallon'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). 5 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
62107
CENTRASTATE MEDICAL CENTER, INC1732
MARINO, DIANE1752
COMMUNITY MEDICAL CENTER INC1213
Jay Gordon
Psychologist, Clinical · Brick, NJ
1258
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
67112
Assurex Health, Inc.
Clinical Laboratory · Mason, OH
2930
MERIDIAN HOSPITALS CORPORATION2845
MARINO, DIANE2153
MERIDIAN HOSPITALS CORPORATION2031
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
1823
CENTRASTATE MEDICAL CENTER, INC1628
COMMUNITY MEDICAL CENTER INC1619
Jay Gordon
Psychologist, Clinical · Brick, NJ
1369
ACCURATE DIAGNOSTICS LABS, INC.1123
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
404
Unique beneficiaries
—
Total services
492
Distinct HCPCS
3
Medicare payment
$39K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,852 Nurse Practitioner providers in NJ — above median (cohort median 291).
QUALITY · MIPS · 2024
Final MIPS score
98.5
Quality
84.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.99%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14
Payment records
1
By payment type
Food and Beverage$14