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PROVIDER PROFILE · NPI 1174588602

David FormanM.D.

PRACTICEMONA EHASZ DO PLLCSee all providers at this practice →
Interventional Pain ManagementHarlingen, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 450033
Hospital
CCN 450855
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,003
Beneficiaries
—
Total drug cost
$36K
Distinct drugs
16
Brand share
63.3%
Top prescribed drugs
Hydrocodone/Acetaminophen438 claims
Fentanyl80 claims
Gabapentin74 claims
Oxycodone Hcl/Acetaminophen71 claims
Morphine Sulfate68 claims
REFERRAL NETWORK

Where David Forman'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). 15 inbound referrers · 40 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 1184668352175366
VHS HARLINGEN HOSPITAL COMPANY LLC90284
VHS BROWNSVILLE HOSPITAL COMPANY LLC53117
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
48121
Charles Fisher
Diagnostic Radiology · Harlingen, TX
3972
DOCTORS HOSPITAL AT RENAISSANCE, LTD3174
Clay Padginton
Diagnostic Radiology · Brownsville, TX
2046
Jorge Saenz
Diagnostic Radiology · Weslaco, TX
1944
Franz Velarde
Diagnostic Radiology · Harlingen, TX
1537
Susan Fan
Diagnostic Radiology · Baytown, TX
1236
M. Hilmy
Cardiology · Harlingen, TX
1232
Maribel Deponce
Physician Assistant · Harlingen, TX
1235
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NPI 1184668352277666
RIDGE, JANE163829
ROBINSON, PEGGY112335
VHS HARLINGEN HOSPITAL COMPANY LLC89239
Michael Flores
Internal Medicine · Donna, TX
73145
VHS BROWNSVILLE HOSPITAL COMPANY LLC72180
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
69210
William Taw
Diagnostic Radiology · Harlingen, TX
68168
Baaxten, Llc
Independent Diagnostic Testing Facility (IDTF) · Harlingen, TX
4676
HARLINGEN MEDICAL CENTER LIMITED PARTNERSHIP46153
VALLEY BAPTIST LAB SERVICES LLC45203
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
44127
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
75.0
Quality
90.0
Cost
64.1
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
905
Unique beneficiaries
—
Total services
4,107
Distinct HCPCS
22
Medicare payment
$154K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 175 Interventional Pain Management providers in TX — above median (cohort median 3,022).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
40
By payment type
Food and Beverage$2K
Travel and Lodging$750