PROVIDER PROFILE · NPI 1215017397

Marco BerronesPA

PRACTICEPLAINVIEW HOSPITALSee all providers at this practice →

Physician AssistantPlainview, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$10K

Peer benchmark

Total Medicare services vs. 8,690 Physician Assistant providers in NY — below median (cohort median 149).

PRESCRIBING · PART D · 2024

Total Rx claims

119

Beneficiaries

—

Total drug cost

$393

Distinct drugs

Brand share

89.9%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen107 claims

Metronidazole12 claims

QUALITY · MIPS · 2024

Final MIPS score

93.1

Quality

79.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

88.8

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$80

Payment records

By payment type

Food and Beverage$80

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 330045

Hospital

CCN 330106

Hospital

CCN 330401

Hospital

REFERRAL NETWORK

Where Marco Berrones'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). 2 inbound referrers · 3 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
David Rivadeneira Colorectal Surgery (Proctology) · Woodbury, NY	35	79
SOUTH SHORE UNIVERSITY HOSPITAL	15	16

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
David Rivadeneira Colorectal Surgery (Proctology) · Woodbury, NY	41	98
HUNTINGTON HOSPITAL ASSOCIATION	23	32
SOUTH SHORE UNIVERSITY HOSPITAL	15	19

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history