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PROVIDER PROFILE · NPI 1013905157

Gerard CrinerMD

PRACTICETEMPLESee all providers at this practice →
Pulmonary DiseasePhiladelphia, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
81.2
Quality
49.7
Cost
74.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.26%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 397015
Home health agency
CCN 390027
Hospital
CCN 390057
Hospital
CCN 390127
Hospital
CCN 390153
Hospital
CCN 390179
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,389
Beneficiaries
—
Total drug cost
$2.7M
Distinct drugs
35
Brand share
61.8%
Top prescribed drugs
Nintedanib Esylate176 claims
Fluticasone/Umeclidin/Vilanter154 claims
Prednisone105 claims
Azithromycin94 claims
Albuterol Sulfate86 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,222
Unique beneficiaries
—
Total services
2,469
Distinct HCPCS
24
Medicare payment
$207K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — top quintile (cohort median 707).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$97K
Payment records
58
By payment type
Consulting Fee$58K
Grant$23K
Education$12K
Travel and Lodging$3K
Food and Beverage$895
REFERRAL NETWORK

Where Gerard Criner'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). 33 inbound referrers · 87 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
144851
Scott Simpson
Diagnostic Radiology · Philadelphia, PA
85311
Jamie Garfield
Internal Medicine · Philadelphia, PA
77239
NPI 115431904474241
Chandra Dass
Diagnostic Radiology · Philadelphia, PA
73169
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
54376
Alexander Swift
Critical Care (Intensivists) · Newark, DE
53176
Kartik Shenoy
Pulmonary Disease · Philadelphia, PA
43159
SHETTY, ASHWIN41115
Albert Mamary
Pulmonary Disease · Philadelphia, PA
40125
D'ORAZIO, EDWARD39147
Nathaniel Marchetti
Pulmonary Disease · Philadelphia, PA
3881
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
TEMPLE UNIVERSITY HOSPITAL, INC3291,357
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
158911
Scott Simpson
Diagnostic Radiology · Philadelphia, PA
129469
Michelle Vega-Olivo
Nurse Practitioner · Philadelphia, PA
116511
Eileen Mcdonnell
Nurse Practitioner · Philadelphia, PA
115524
KWAK, CHUL97531
Chandra Dass
Diagnostic Radiology · Philadelphia, PA
92229
Alexander Swift
Critical Care (Intensivists) · Newark, DE
92285
NPI 115431904477239
Maria Elena Vega Sanchez
Internal Medicine · Philadelphia, PA
75204
Susan Estrella-Eades
Nurse Practitioner · Philadelphia, PA
75261
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
65404
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.