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PROVIDER PROFILE · NPI 1174572440

Ya Li ChenM.D.

RheumatologyRochester, NYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 330073
Hospital
CCN 330125
Hospital
CCN 330265
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,805
Beneficiaries
—
Total drug cost
$1.7M
Distinct drugs
32
Brand share
40.9%
Top prescribed drugs
Methotrexate Sodium520 claims
Prednisone207 claims
Hydroxychloroquine Sulfate174 claims
Leflunomide128 claims
Adalimumab78 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
16
By payment type
Food and Beverage$1K
QUALITY · MIPS · 2024
Final MIPS score
96.6
Quality
74.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.91%
APM Entity
REFERRAL NETWORK

Where Ya Li Chen'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). 7 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ROCHESTER GENERAL HOSPITAL1951,110
UNIVERSITY OF ROCHESTER40142
ACM MEDICAL LABORATORY INC1768
Edward Zinkin
Diagnostic Radiology · Rochester, NY
1753
Douglas Jones
Internal Medicine · Rochester, NY
1215
Anne Marie Holly
Physician Assistant · Rochester, NY
1121
THE UNITY HOSPITAL OF ROCHESTER1130
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ROCHESTER GENERAL HOSPITAL3052,017
UNIVERSITY OF ROCHESTER52164
HIGHLAND HOSPITAL OF ROCHESTER3074
NEWARK WAYNE COMMUNITY HOSPITAL30127
Michelle Rizzolo
Physician Assistant · Rochester, NY
2752
Anne Marie Holly
Physician Assistant · Rochester, NY
2039
Karen Mcmurtry
Nurse Practitioner · Rochester, NY
1617
ACM MEDICAL LABORATORY INC1559
R. Hicks
Diagnostic Radiology · Rochester, NY
1467
Edward Zinkin
Diagnostic Radiology · Rochester, NY
1242
National Ambulance & Oxygen Service, Inc.
Ambulance Service Provider · Rochester, NY
1224
Douglas Jones
Internal Medicine · Rochester, NY
1229
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
216
Unique beneficiaries
—
Total services
330
Distinct HCPCS
3
Medicare payment
$22K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 402 Rheumatology providers in NY — below median (cohort median 1,221).