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PROVIDER PROFILE · NPI 1174554471

Robert DefalcoDO

PRACTICENORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTERSee all providers at this practice →
Orthopedic SurgeryHackettstown, NJI
CROSS-REFERENCE

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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
67
Unique beneficiaries
—
Total services
1,147
Distinct HCPCS
3
Medicare payment
$7K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 656 Orthopedic Surgery providers in NJ — below median (cohort median 1,908).
REFERRAL NETWORK

Where Robert Defalco'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). 10 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Michael Mantinaos
Diagnostic Radiology · Mount Arlington, NJ
3573
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2753
John Werring
Diagnostic Radiology · Summit, NJ
2341
Paul Teja
Orthopedic Surgery · Hackettstown, NJ
2332
Clay Hinrichs
Diagnostic Radiology · Hackettstown, NJ
2128
Jessica Klimas
Physical Therapist in Private Practice · Hackettstown, NJ
1572
Michael Kelly
Sports Medicine · West Orange, NJ
1534
Aaron Gewant
Physical Therapist in Private Practice · Chester, NJ
1380
Sheri Fuzia
Physical Therapist in Private Practice · Hackettstown, NJ
1146
Vanitha Rodrigues
Diagnostic Radiology · Berwyn, PA
1120
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
AHS HOSPITAL CORP41126
John Werring
Diagnostic Radiology · Summit, NJ
3359
Paul Teja
Orthopedic Surgery · Hackettstown, NJ
2966
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2959
Kevin White
Orthopedic Surgery · Hackettstown, NJ
2554
Jason Wu
Rheumatology · Hackettstown, NJ
2344
Clay Hinrichs
Diagnostic Radiology · Hackettstown, NJ
2231
James Karns
Physical Therapist in Private Practice · Hackettstown, NJ
2192
Victoria Kummer
Nurse Practitioner · Hackettstown, NJ
2042
Sheri Fuzia
Physical Therapist in Private Practice · Hackettstown, NJ
2078
Michael Kelly
Sports Medicine · West Orange, NJ
1943
Hector Cordero
Diagnostic Radiology · Sparta, NJ
1824
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.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
89.0
Quality
89.4
Cost
76.4
Improvement activities
40.0
Promoting interop.
97.0
Payment adjustment
0.59%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
22
By payment type
Travel and Lodging$1K
Food and Beverage$315