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PROVIDER PROFILE · NPI 1164409538

Clifford SebastianMD

CardiologyChester, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 310005
Hospital
CCN 310015
Hospital
CCN 310115
Hospital
CCN 390049
Hospital
CCN 390330
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,894
Unique beneficiaries
—
Total services
4,939
Distinct HCPCS
17
Medicare payment
$519K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 891 Cardiology providers in NJ — top quintile (cohort median 2,933).
REFERRAL NETWORK

Where Clifford Sebastian'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). 54 inbound referrers · 91 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
AHS HOSPITAL CORP.2611,034
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
128354
Lawrence Antonucci
Cardiology · Chester, NJ
91287
David Paik
Diagnostic Radiology · Parsippany, NJ
61241
Charles Marotta
Cardiology · Cedar Knolls, NJ
49106
Adeyemi Iyanoye
Cardiology · Toms River, NJ
44105
BEST CARE LABORATORY, LLC.43198
David James
Interventional Cardiology · Cedar Knolls, NJ
41112
Hal Ginsberg
Diagnostic Radiology · Morristown, NJ
3794
NPI 142714827933102
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
3296
Hristo Stoytchev
Internal Medicine · Newton, NJ
3181
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
AHS HOSPITAL CORP.184581
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
99274
METROPOLITAN SPECIALTY LABS, INC96615
Lawrence Antonucci
Cardiology · Chester, NJ
78185
Atlantic Ambulance Corp.
Ambulance Service Provider · Livingston, NJ
63120
BEST CARE LABORATORY, LLC.62284
SWAYNE, LAWRENCE58203
Darshan Godkar
Cardiology · Cedar Knolls, NJ
55175
Milan Sheth
Diagnostic Radiology · Morristown, NJ
53148
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
52120
David Paik
Diagnostic Radiology · Parsippany, NJ
50270
David James
Interventional Cardiology · Cedar Knolls, NJ
4596
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
87.2
Quality
78.1
Cost
79.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.51%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
8,883
Beneficiaries
—
Total drug cost
$1.8M
Distinct drugs
87
Brand share
25.4%
Top prescribed drugs
Rosuvastatin Calcium929 claims
Atorvastatin Calcium726 claims
Apixaban541 claims
Metoprolol Succinate536 claims
Valsartan424 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$468
Payment records
25
By payment type
Food and Beverage$468