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PROVIDER PROFILE · NPI 1235252669

John RoussalisM.D.PC

Plastic and Reconstructive SurgeryNewark, DEI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
74.4
Quality
69.3
Cost
45.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
-0.07%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 080001
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$4K
Payment records
23
By payment type
Compensation for serving as faculty or as a speaker for a medical education program$3K
Food and Beverage$1K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$350
PRESCRIBING · PART D · 2024
Total Rx claims
421
Beneficiaries
—
Total drug cost
$21K
Distinct drugs
6
Brand share
10.9%
Top prescribed drugs
Mupirocin147 claims
Doxycycline Hyclate99 claims
Cephalexin89 claims
Clindamycin Hcl40 claims
Collagenase Clostridium Hist.35 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,141
Unique beneficiaries
—
Total services
3,872
Distinct HCPCS
29
Medicare payment
$1.1M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 16 Plastic and Reconstructive Surgery providers in DE — top quintile (cohort median 593).
REFERRAL NETWORK

Where John Roussalis'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 · 4 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WYOMING MEDICAL CENTER INC2478
Central Wyoming Outpatient Surgery Center, Llc
Ambulatory Surgical Center · Casper, WY
1421
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Lydia Christiansen
Pathology · Charleston, SC
3166
WYOMING MEDICAL CENTER INC25113
YOST, LINDA2244
SMITH, GEOFFREY1524
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.