PROVIDER PROFILE · NPI 1033178025

Todd FormanM.D.

Family PracticeNewport Beach, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

949

Unique beneficiaries

—

Total services

1,320

Distinct HCPCS

Medicare payment

$127K

Peer benchmark

Total Medicare services vs. 8,228 Family Practice providers in CA — top quintile (cohort median 411).

PRESCRIBING · PART D · 2024

Total Rx claims

2,465

Beneficiaries

—

Total drug cost

$107K

Distinct drugs

Brand share

16.4%

Top prescribed drugs

Atorvastatin Calcium177 claims

Rosuvastatin Calcium159 claims

Losartan Potassium159 claims

Amlodipine Besylate115 claims

Levothyroxine Sodium112 claims

QUALITY · MIPS · 2024

Final MIPS score

18.4

Quality

0.0

Cost

61.2

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-9.00%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$19

Payment records

By payment type

Food and Beverage$19

Top paying entities

Food and Beverage$19

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 557412

Home health agency

CCN 050224

Hospital

REFERRAL NETWORK

Where Todd Forman'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). 1 inbound referrers · 14 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	19	54

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
CALIFORNIA LABORATORY SCIENCES LLC	119	656
HOAG MEMORIAL HOSPITAL PRESBYTERIAN	110	541
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	28	78
Unilab Corporation Clinical Laboratory · West Hills, CA	24	66
Kristen Forman Dermatology · Newport Beach, CA	23	50
WAVE IMAGING, LLC	20	31
UNIVERSITY OF SOUTHERN CALIFORNIA	18	140
Carey O'bryan Cardiology · Newport Beach, CA	14	47
Julie Duquette Pathology · Newport Beach, CA	14	28
Specialty Laboratories Inc Clinical Laboratory · West Hills, CA	14	43
John Lieu Diagnostic Radiology · Palo Alto, CA	13	35
Desmond Levin Cardiology · Newport Beach, CA	13	30

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