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PROVIDER PROFILE · NPI 1154425791

Jose ToroM.D

PRACTICEORMCSee all providers at this practice →
Orthopedic SurgeryMiddletown, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 337140
Home health agency
CCN 337165
Home health agency
CCN 337290
Home health agency
CCN 330126
Hospital
CCN 330386
Hospital
CCN 331310
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
841
Unique beneficiaries
—
Total services
1,171
Distinct HCPCS
19
Medicare payment
$101K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,320 Orthopedic Surgery providers in NY — above median (cohort median 1,129).
PRESCRIBING · PART D · 2024
Total Rx claims
82
Beneficiaries
—
Total drug cost
$445
Distinct drugs
4
Brand share
24.4%
Top prescribed drugs
Gabapentin28 claims
Meloxicam20 claims
Oxycodone Hcl/Acetaminophen20 claims
Tramadol Hcl14 claims
REFERRAL NETWORK

Where Jose Toro'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). 12 inbound referrers · 23 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTRAL SUFFOLK HOSPITAL123415
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
25120
David Lawrence
Medical Toxicology · Stony Brook, NY
1552
UNIVERSITY HOSPITAL AT STONY BROOK1428
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1431
Kenneth Mayer
Internal Medicine · New York, NY
1435
Rameshchandra Dabhi
Cardiology · Riverhead, NY
1340
Alban Bailey
Emergency Medicine · Stony Brook, NY
1259
SINGH, DEVENDRA1275
Eric Morley
Emergency Medicine · Stony Brook, NY
1257
David Prentiss
Family Practice · Rocky Point, NY
1130
Miguel Blanco
Internal Medicine · Riverhead, NY
1126
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CENTRAL SUFFOLK HOSPITAL113455
Vanya Saradoff
Diagnostic Radiology · Stony Brook, NY
44171
James Badia
Diagnostic Radiology · Stony Brook, NY
41129
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
25130
CENTRAL SUFFOLK HOSPITAL2368
Michael Reiter
Diagnostic Radiology · Stony Brook, NY
2363
Kenneth Mayer
Internal Medicine · New York, NY
2375
SINGH, DEVENDRA19201
Michael Ciminiello
Orthopedic Surgery · Riverhead, NY
1763
Mike Pappas
Physical Medicine and Rehabilitation · Riverhead, NY
1633
CENTRAL SUFFOLK HOSPITAL1542
David Prentiss
Family Practice · Rocky Point, NY
1451
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.
QUALITY · MIPS · 2024
Final MIPS score
87.1
Quality
61.0
Cost
72.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.51%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$466
Payment records
5
By payment type
Food and Beverage$466