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PROVIDER PROFILE · NPI 1013968734

Michael Pedone

PRACTICEMAINLINE MEDICAL ASSOCIATES INCSee all providers at this practice →
Family PracticeAltoona, PAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 397087
Home health agency
CCN 390073
Hospital
QUALITY · MIPS · 2024
Final MIPS score
79.9
Quality
62.6
Cost
70.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.21%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
11,505
Beneficiaries
—
Total drug cost
$983K
Distinct drugs
160
Brand share
21.9%
Top prescribed drugs
Atorvastatin Calcium525 claims
Lisinopril509 claims
Pantoprazole Sodium446 claims
Gabapentin377 claims
Levocetirizine Dihydrochloride324 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
405
Unique beneficiaries
—
Total services
606
Distinct HCPCS
10
Medicare payment
$34K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,194 Family Practice providers in PA — above median (cohort median 645).
REFERRAL NETWORK

Where Michael Pedone'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). 15 inbound referrers · 42 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
David Rose
Diagnostic Radiology · Altoona, PA
41130
Richard Wertz
Diagnostic Radiology · Altoona, PA
2989
Altoona Logan Twp Mobile Med Emerg Dept Authority
Ambulance Service Provider · Altoona, PA
26179
PRIMARY HEALTH NETWORK1880
DEFRANCISCO, LANCE1638
Esiri Karunaratne
Diagnostic Radiology · Altoona, PA
1553
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALTOONA, LLC1439
Joseph Clark
Neurology · Punxsutawney, PA
1350
Gregory Martinek
Internal Medicine · Altoona, PA
1335
Harry Penny
Podiatry · Altoona, PA
1394
NASON MEDICAL CENTER LLC1221
Robert Fine
Emergency Medicine · East Norriton, PA
1250
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC ALTOONA1891,573
David Rose
Diagnostic Radiology · Altoona, PA
57211
Peter James
Diagnostic Radiology · Carmichael, CA
43122
Richard Wertz
Diagnostic Radiology · Altoona, PA
38146
Lawrence Mcaleer
Internal Medicine · Hershey, PA
30105
Altoona Logan Twp Mobile Med Emerg Dept Authority
Ambulance Service Provider · Altoona, PA
25247
Jeffrey Weitz
Diagnostic Radiology · Newport Beach, CA
2386
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA22116
Brett Scharf
Family Practice · Altoona, PA
21113
PRIMARY HEALTH NETWORK2188
Mitchell Joseph
Family Practice · Cresson, PA
2058
George Jabbour
Cardiology · Altoona, PA
20109
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.