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PROVIDER PROFILE · NPI 1255344099

Jonathan MarcusM.D.

NeurologyRochester, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
93.3
Quality
75.7
Cost
70.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.77%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
283
Beneficiaries
—
Total drug cost
$413K
Distinct drugs
12
Brand share
16.3%
Top prescribed drugs
Pregabalin72 claims
Gabapentin36 claims
Methadone Hcl34 claims
Sodium Oxybate24 claims
Dextroamphetamine/Amphetamine24 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 330164
Hospital
CCN 330285
Hospital
REFERRAL NETWORK

Where Jonathan Marcus'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). 3 inbound referrers · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF ROCHESTER121782
ROCHESTER GENERAL HOSPITAL24115
ACM MEDICAL LABORATORY INC1244
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF ROCHESTER1361,124
HIGHLAND HOSPITAL OF ROCHESTER43197
ROCHESTER GENERAL HOSPITAL2198
Michael Yurcheshen
Neurology · Rochester, NY
1644
Carolina Marcus
Sleep Medicine · Rochester, NY
1242
ACM MEDICAL LABORATORY INC1153
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
176
Unique beneficiaries
—
Total services
184
Distinct HCPCS
5
Medicare payment
$8K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,430 Neurology providers in NY — bottom quintile (cohort median 560).