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PROVIDER PROFILE · NPI 1215932553

Laura DowneyM.D.

OtolaryngologyWest Orange, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
83.9
Quality
72.1
Cost
83.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.37%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$250
Payment records
13
By payment type
Food and Beverage$250
Top paying entities
Food and Beverage$250
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 310051
Hospital
CCN 310076
Hospital
CCN 313025
Inpatient rehabilitation facility
PRESCRIBING · PART D · 2024
Total Rx claims
1,749
Beneficiaries
—
Total drug cost
$45K
Distinct drugs
46
Brand share
15.0%
Top prescribed drugs
Montelukast Sodium305 claims
Ipratropium Bromide178 claims
Ofloxacin109 claims
Fluticasone Propionate97 claims
Prednisone90 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,858
Unique beneficiaries
—
Total services
4,068
Distinct HCPCS
22
Medicare payment
$289K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 263 Otolaryngology providers in NJ — top quintile (cohort median 1,367).
REFERRAL NETWORK

Where Laura Downey'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). 14 inbound referrers · 23 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Cooperman Barnabas Medical Center Inc
Medicare Diabetes Preventive Program · Livingston, NJ
90178
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
61148
AHS HOSPITAL CORP.3160
Maryann Pladdys
Audiologist · Riverdale, NJ
1943
James Rommer
Internal Medicine · Livingston, NJ
1840
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1849
Robert Mirsky
Ophthalmology · West Orange, NJ
1519
Charles Kurtzer
Podiatry · Livingston, NJ
1530
Amy Pento
Audiologist · West Orange, NJ
1520
Brian Machler
Dermatology · Florham Park, NJ
1315
NPI 12654329181121
Lyle Gesner
Diagnostic Radiology · Livingston, NJ
1117
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Francesca Tschorn
Audiologist · Purchase, NY
97152
Cooperman Barnabas Medical Center Inc
Medicare Diabetes Preventive Program · Livingston, NJ
90240
Saint Barnabas Outpatient Centers
Independent Diagnostic Testing Facility (IDTF) · Livingston, NJ
76130
Laurie Romei
Audiologist · Bloomfield, NJ
73101
Amy Pento
Audiologist · West Orange, NJ
6585
Maryann Pladdys
Audiologist · Riverdale, NJ
5891
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
57128
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
56122
AHS HOSPITAL CORP.2653
MEDICAL LABORATORY DIAGNOSTICS, INC.2539
AHS HOSPITAL CORP.2341
ACCURATE DIAGNOSTICS LABS, INC.1695
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.