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PROVIDER PROFILE · NPI 1013951227

Sena SumathisenaM.D.

PRACTICEDEBORAH HEART AND LUNG CENTERSee all providers at this practice →
CardiologyBrowns Mills, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 310022
Hospital
CCN 310031
Hospital
CCN 310041
Hospital
CCN 310044
Hospital
CCN 310113
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,681
Unique beneficiaries
—
Total services
3,973
Distinct HCPCS
8
Medicare payment
$67K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 891 Cardiology providers in NJ — above median (cohort median 2,933).
PRESCRIBING · PART D · 2024
Total Rx claims
6,571
Beneficiaries
—
Total drug cost
$682K
Distinct drugs
55
Brand share
19.8%
Top prescribed drugs
Atorvastatin Calcium594 claims
Metoprolol Succinate523 claims
Rosuvastatin Calcium482 claims
Clopidogrel Bisulfate398 claims
Spironolactone329 claims
QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
96.6
Cost
81.8
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.86%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Sena Sumathisena'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). 67 inbound referrers · 146 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DEBORAH HEART AND LUNG CENTER6902,048
Thomas Gallagher
Diagnostic Radiology · Edina, MN
249754
VIRTUA WILLINGBORO HOSPITAL INC238508
MOGTADER, ALLEN208545
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
183466
NPI 1346281821142291
Stephen Szawlewicz
Cardiology · Browns Mills, NJ
139365
Frank Fish
Cardiology · Browns Mills, NJ
119271
COMMUNITY MEDICAL CENTER INC89240
Behrang Litkouhi
Diagnostic Radiology · Hackensack, NJ
85239
VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY, INC.85192
Andrew Martin
Pulmonary Disease · Browns Mills, NJ
79219
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DEBORAH HEART AND LUNG CENTER1,3844,260
MOGTADER, ALLEN373938
Thomas Gallagher
Diagnostic Radiology · Edina, MN
3491,114
David Altimore
Cardiology · Browns Mills, NJ
306647
Stephen Szawlewicz
Cardiology · Browns Mills, NJ
266637
Renee Bullock-Palmer
Cardiology · Browns Mills, NJ
266593
VIRTUA WILLINGBORO HOSPITAL INC239429
Saugato Sanyal
Cardiology · Marlton, NJ
239671
Frank Fish
Cardiology · Browns Mills, NJ
231557
Denise Zingrone
Cardiology · Browns Mills, NJ
230518
NPI 1346281821227509
Raffaele Corbisiero
Cardiology · Browns Mills, NJ
211520
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.