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PROVIDER PROFILE · NPI 1053316687

Nicole ForneyO.D.

PRACTICESTATE HILL SURGICENTER LLCSee all providers at this practice →
OptometryWyomissing, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Nicole Forney'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). 2 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES1316
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
1214
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
READING HOSPITAL131222
Leah Wartluft
Ophthalmology · Wyomissing, PA
37100
ST JOSEPH REGIONAL HEALTH NETWORK3671
Mark Dipillo
Ophthalmology · Wyomissing, PA
1835
Moiz Carim
Ophthalmology · Wyomissing, PA
1723
Daniel Shurman
Dermatology · West Lawn, PA
1431
State Hill Surgicenter Llc
Ambulatory Surgical Center · Wyomissing, PA
1319
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES1315
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
1233
Michael Cefaratti
Ophthalmology · Wyomissing, PA
1117
Aziz Gopalani
Psychiatry · Bridgeville, PA
1113
Health Network Laboratories, Llc
Clinical Laboratory · Allentown, PA
1115
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.
PRESCRIBING · PART D · 2024
Total Rx claims
601
Beneficiaries
—
Total drug cost
$131K
Distinct drugs
14
Brand share
31.1%
Top prescribed drugs
Latanoprost239 claims
Dorzolamide Hcl/Timolol Maleat52 claims
Timolol Maleate49 claims
Travoprost36 claims
Cyclosporine34 claims
QUALITY · MIPS · 2024
Final MIPS score
92.5
Quality
97.6
Cost
78.1
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.74%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,444
Unique beneficiaries
—
Total services
1,546
Distinct HCPCS
9
Medicare payment
$80K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,495 Optometry providers in PA — top quintile (cohort median 322).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$988
Payment records
29
By payment type
Food and Beverage$988