PROVIDER PROFILE · NPI 1053398602

Theodore SgambatiM.D.

Internal MedicineParamus, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,067

Unique beneficiaries

—

Total services

1,578

Distinct HCPCS

Medicare payment

$104K

Peer benchmark

Total Medicare services vs. 3,616 Internal Medicine providers in NJ — above median (cohort median 895).

PRESCRIBING · PART D · 2024

Total Rx claims

8,160

Beneficiaries

—

Total drug cost

$534K

Distinct drugs

143

Brand share

15.5%

Top prescribed drugs

Atorvastatin Calcium488 claims

Amlodipine Besylate399 claims

Levothyroxine Sodium315 claims

Losartan Potassium296 claims

Rosuvastatin Calcium276 claims

QUALITY · MIPS · 2024

Final MIPS score

95.0

Quality

85.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.84%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$230

Payment records

By payment type

Food and Beverage$230

Top paying entities

Food and Beverage$230

REFERRAL NETWORK

Where Theodore Sgambati'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). 29 inbound referrers · 66 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE VALLEY HOSPITAL INC.	257	1,817
Peter Luongo Internal Medicine · Paramus, NJ	166	691
Marcus Williams Cardiology · Fair Lawn, NJ	74	220
Steven Levy Podiatry · Oradell, NJ	46	204
VALLEY HOME CARE, INC	40	92
Howard Seigerman Diagnostic Radiology · Waldwick, NJ	36	81
HMH HOSPITALS CORPORATION	28	74
Glenn Krinsky Diagnostic Radiology · Waldwick, NJ	28	68
Kyung-Hwa Rhee Diagnostic Radiology · Waldwick, NJ	26	89
Lauren Levy Diagnostic Radiology · Waldwick, NJ	23	56
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	22	44
Amit Agarwal Internal Medicine · Paramus, NJ	21	51

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
THE VALLEY HOSPITAL INC.	191	1,241
Peter Luongo Internal Medicine · Paramus, NJ	182	758
SHIEL HOLDINGS LLC	156	306
Marcus Williams Cardiology · Fair Lawn, NJ	92	209
VALLEY HOME CARE, INC	72	239
Elliot Lerner Diagnostic Radiology · Waldwick, NJ	61	164
Steven Levy Podiatry · Oradell, NJ	51	223
Scott Degregorio Diagnostic Radiology · Waldwick, NJ	42	71
Glenn Krinsky Diagnostic Radiology · Waldwick, NJ	39	82
Keith Dockery Diagnostic Radiology · Waldwick, NJ	39	81
HMH HOSPITALS CORPORATION	36	76
Howard Seigerman Diagnostic Radiology · Waldwick, NJ	34	64

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