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PROVIDER PROFILE · NPI 1275521361

John SmithM.D.

Hematology-OncologyPhillipsburg, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 310060
Hospital
CCN 390049
Hospital
CCN 390162
Hospital
CCN 390183
Hospital
CCN 390326
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
578
Unique beneficiaries
—
Total services
728
Distinct HCPCS
7
Medicare payment
$82K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 301 Hematology-Oncology providers in NJ — below median (cohort median 3,501).
PRESCRIBING · PART D · 2024
Total Rx claims
1,019
Beneficiaries
—
Total drug cost
$3.1M
Distinct drugs
29
Brand share
43.2%
Top prescribed drugs
Apixaban129 claims
Anastrozole125 claims
Rivaroxaban70 claims
Warfarin Sodium69 claims
Hydroxyurea63 claims
QUALITY · MIPS · 2024
Final MIPS score
97.1
Quality
82.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.93%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where John Smith'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). 68 inbound referrers · 128 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COHEN, KENNETH169596
Joseph Bucich
Diagnostic Radiology · Phillipsburg, NJ
123408
SCHIPPERS, AMY82276
Navtej Brar
Cardiology · Phillipsburg, NJ
59244
Franklin Margolis
Urology · Phillipsburg, NJ
57228
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
54226
NAR, KISHORKUMAR46128
Thaddeus Aversa
Internal Medicine · Phillipsburg, NJ
45374
Arthur Popkave
Cardiology · Phillipsburg, NJ
45152
Shantheri Shenoy
Hospitalist · New York, NY
42170
Dhyanesh Pandya
Internal Medicine · Phillipsburg, NJ
42290
ST LUKES HOSPITAL41185
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. LUKE'S WARREN HOSPITAL, INC.44711,655
Mitchell Rabinowitz
Diagnostic Radiology · Phillipsburg, NJ
155499
Joseph Bucich
Diagnostic Radiology · Phillipsburg, NJ
132466
COHEN, KENNETH131531
Matthew Pollack
Diagnostic Radiology · Phillipsburg, NJ
97332
Michael Nekoranik
Pulmonary Disease · Phillipsburg, NJ
80546
Amit Prasad
Cardiology · Phillipsburg, NJ
70225
Navtej Brar
Cardiology · Phillipsburg, NJ
67227
SCHIPPERS, AMY60252
Franklin Margolis
Urology · Phillipsburg, NJ
58275
NORTHAMPTON HOSPITAL COMPANY LLC55494
ST LUKES HOSPITAL53172
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.