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PROVIDER PROFILE · NPI 1073826517

Jay FormanPA-C

Physician AssistantGloucester, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
421
Unique beneficiaries
—
Total services
442
Distinct HCPCS
5
Medicare payment
$42K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,062 Physician Assistant providers in VA — above median (cohort median 318).
PRESCRIBING · PART D · 2024
Total Rx claims
233
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
11
Brand share
39.9%
Top prescribed drugs
Hydrocodone/Acetaminophen56 claims
Cephalexin34 claims
Oxycodone Hcl/Acetaminophen25 claims
Cyclobenzaprine Hcl22 claims
Methylprednisolone19 claims
QUALITY · MIPS · 2024
Final MIPS score
94.9
Quality
92.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
94.9
Payment adjustment
0.84%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Jay 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). 8 inbound referrers · 37 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
RIVERSIDE HOSPITAL INC66118
Jeff Sensenig
Emergency Medicine · San Antonio, TX
5777
Dennie Bartol
Diagnostic Radiology · Newport News, VA
2734
BASS, GREGORY2036
Shafqat Ashai
Internal Medicine · Ahoskie, NC
1423
Jon Elliott
Diagnostic Radiology · Newport News, VA
1212
Steven Irby
Diagnostic Radiology · Newport News, VA
1213
John Gretes
Nephrology · Gloucester, VA
1138
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC253403
RIVERSIDE HOSPITAL INC87146
Sudershan Gupta
Emergency Medicine · Big Stone Gap, VA
6582
BASS, GREGORY5669
Shafqat Ashai
Internal Medicine · Ahoskie, NC
4355
Steven Irby
Diagnostic Radiology · Newport News, VA
4048
Valentine Curran
Diagnostic Radiology · Newport News, VA
3750
Sharita Johnson
Emergency Medicine · Petersburg, WV
3640
Timothy Farrell
Diagnostic Radiology · Newport News, VA
3538
James Grimson
Diagnostic Radiology · Newport News, VA
3440
Yizhi Liang
Diagnostic Radiology · Newport News, VA
3340
David Schengber
Diagnostic Radiology · Newport News, VA
3246
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.