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PROVIDER PROFILE · NPI 1255311189

Michael GaroneM.D.

GastroenterologyFairfax, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 490101
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
410
Beneficiaries
—
Total drug cost
$1.0M
Distinct drugs
11
Brand share
45.4%
Top prescribed drugs
Pantoprazole Sodium105 claims
Sodium, Potassium,mag Sulfates45 claims
Famotidine44 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl41 claims
Mesalamine37 claims
QUALITY · MIPS · 2024
Final MIPS score
80.5
Quality
56.1
Cost
80.6
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.23%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
557
Unique beneficiaries
—
Total services
4,706
Distinct HCPCS
17
Medicare payment
$152K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 375 Gastroenterology providers in VA — top quintile (cohort median 781).
REFERRAL NETWORK

Where Michael Garone'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). 6 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
67160
Zamira Orahovac
Anesthesiology · Fairfax, VA
55111
Theodore Friedman
Pathology · Fairfax, VA
4186
Fatemeh Khedmati
Pathology · Fairfax, VA
3678
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
1822
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1117
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
INOVA HEALTH CARE SERVICES224531
HENRY, JAMES71142
Lavanya Kodali
Anesthesiology · Rome, NY
70171
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
60165
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
4477
INOVA HEALTH CARE SERVICES2356
Bezawit Tekola
Gastroenterology · Fairfax, VA
1729
Geetha Dhinakaran
Anesthesiology · Fairfax, VA
1531
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
1424
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1433
LAROCHE, MIRJA1327
Bruce Urban
Diagnostic Radiology · Charlottesville, VA
1323
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$38K
Payment records
151
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$16K
Consulting Fee$14K
Food and Beverage$4K
Travel and Lodging$3K
Education$86