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PROVIDER PROFILE · NPI 1235123159

Toni SicenicaMD

PRACTICEPITTSBURGH PULMONARY AND CRITICAL CARE ASSOCIATESSee all providers at this practice →
Pulmonary DiseaseJefferson Hills, PAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 510023
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,752
Beneficiaries
—
Total drug cost
$611K
Distinct drugs
22
Brand share
64.6%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter374 claims
Albuterol Sulfate265 claims
Prednisone210 claims
Azithromycin144 claims
Montelukast Sodium112 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
622
Unique beneficiaries
—
Total services
1,406
Distinct HCPCS
11
Medicare payment
$91K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — top quintile (cohort median 707).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$214
Payment records
2
By payment type
Food and Beverage$214
QUALITY · MIPS · 2024
Final MIPS score
32.8
Quality
30.0
Cost
52.7
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-5.06%
Individual
REFERRAL NETWORK

Where Toni Sicenica'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). 41 inbound referrers · 58 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
VALLEY MEDICAL FACILITIES, INC.74703
Embrooke Incorporated
Ambulance Service Provider · Mc Kees Rocks, PA
36561
Syed Ali
Internal Medicine · Mc Kees Rocks, PA
31866
TUCHINDA, JALIT27518
Leonard Deriggi
Diagnostic Radiology · Beaver, PA
27560
Chhaganlal Ladani
Cardiology · Mc Kees Rocks, PA
27372
Ramana Murty
Cardiology · Steubenville, OH
26358
Michael Maroney
Diagnostic Radiology · Wheeling, WV
22272
WEST PENN ALLEGHENY HEALTH SYSTEM INC.19112
William Bell
Emergency Medicine · Pittsburgh, PA
18220
Lisa Brancazio
Pathology · Weirton, WV
18149
Vincent Caruso
Diagnostic Radiology · Wheeling, WV
18169
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WEIRTON MEDICAL CENTER, INC66414
Cherian John
Cardiology · Burgettstown, PA
52914
Kara Leslie
Diagnostic Radiology · Wheeling, WV
43341
John Balzano
Diagnostic Radiology · Wheeling, WV
42719
THIMMIAH, RAMESH371,221
William Kunsman
Legal Medicine · Mckees Rocks, PA
36324
Embrooke Incorporated
Ambulance Service Provider · Mc Kees Rocks, PA
34316
MOLNAR, THEODORE33397
TUCHINDA, JALIT29314
VALLEY MEDICAL FACILITIES, INC.28406
Ramana Murty
Cardiology · Steubenville, OH
28348
Gary Loh
Diagnostic Radiology · Wheeling, WV
26159
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.