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PROVIDER PROFILE · NPI 1184883209

Philip FormicaMD

Advanced Heart Failure and Transplant CardiologyBurlington, MAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 220033
Hospital
CCN 220084
Hospital
CCN 220086
Hospital
CCN 220105
Hospital
CCN 220171
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,210
Unique beneficiaries
—
Total services
2,625
Distinct HCPCS
22
Medicare payment
$137K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 40 Advanced Heart Failure and Transplant Cardiology providers in MA — top quintile (cohort median 1,299).
PRESCRIBING · PART D · 2024
Total Rx claims
1,686
Beneficiaries
—
Total drug cost
$715K
Distinct drugs
29
Brand share
25.7%
Top prescribed drugs
Metoprolol Succinate196 claims
Apixaban180 claims
Furosemide140 claims
Amlodipine Besylate140 claims
Atorvastatin Calcium118 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Philip Formica'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). 79 inbound referrers · 187 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SOUTHCOAST HOSPITALS GROUP, INC5973,272
Daniel Weller
Diagnostic Radiology · New Bedford, MA
137420
SPENCER, NICHOLAS118425
Jonathan Bojarski
Diagnostic Radiology · Boston, MA
117404
City Of New Bedford
Ambulance Service Provider · New Bedford, MA
85217
Mark Desnoyers
Cardiology · North Dartmouth, MA
78304
SOUTHCOAST HOSPITALS GROUP, INC73217
Nosheen Javed
Interventional Cardiology · Fall River, MA
65286
Gregory Russell
Cardiology · North Dartmouth, MA
64342
Sameer Qamar
Hospitalist · Dayton, OH
63212
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
62154
Miret Ibrahim
Cardiology · N Chelmsford, MA
47166
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SOUTHCOAST HOSPITALS GROUP, INC6453,831
Jonathan Bojarski
Diagnostic Radiology · Boston, MA
137430
Salman Bashir
Diagnostic Radiology · New Bedford, MA
136388
Daniel Weller
Diagnostic Radiology · New Bedford, MA
134369
SPENCER, NICHOLAS125367
Michael Merport
Diagnostic Radiology · New Bedford, MA
125326
Henry Su
Diagnostic Radiology · South Weymouth, MA
121305
Gregory Hurlock
Diagnostic Radiology · Boston, MA
106325
Anne Ruggieri
Diagnostic Radiology · East Providence, RI
94232
SOUTHCOAST HOSPITALS GROUP, INC90469
Nosheen Javed
Interventional Cardiology · Fall River, MA
83394
Eascare Llc
Ambulance Service Provider · Weymouth, MA
77396
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.