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PROVIDER PROFILE · NPI 1093739393

Edward BrettholzMD

PRACTICEMARCUS AVENUE MEDICAL PCSee all providers at this practice →
GastroenterologyNew York, NYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 330119
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
798
Unique beneficiaries
—
Total services
1,059
Distinct HCPCS
14
Medicare payment
$74K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,360 Gastroenterology providers in NY — top quintile (cohort median 521).
REFERRAL NETWORK

Where Edward Brettholz'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). 3 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BETH ISRAEL MEDICAL CENTER2078
Ameripath New York Llc
Clinical Laboratory · Shelton, CT
1927
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1251
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Kips Bay Endoscopy Center, Llc
Ambulatory Surgical Center · New York, NY
81208
Ameripath New York Llc
Clinical Laboratory · Shelton, CT
58117
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
41202
Leona Pan
Anesthesiology · Parkland, FL
2766
BETH ISRAEL MEDICAL CENTER19103
MONKCOM, WENDY1846
NYU LANGONE HOSPITALS1656
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1580
The New York And Presbyterian Hospital
Opioid Treatment Program · New York, NY
1125
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$20K
Payment records
103
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$13K
Travel and Lodging$4K
Food and Beverage$3K
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
782
Beneficiaries
—
Total drug cost
$110K
Distinct drugs
9
Brand share
15.5%
Top prescribed drugs
Famotidine274 claims
Omeprazole255 claims
Pantoprazole Sodium75 claims
Sodium, Potassium,mag Sulfates75 claims
Linaclotide33 claims