What is Rick Fornelli's specialty?

Rick Fornelli (NPI 1316998263) is a Medicare-billing provider whose primary specialty is Otolaryngology in Erie, PA.

Where does Rick Fornelli practice?

Rick Fornelli practices in Erie, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1316998263.

How much does Medicare pay Rick Fornelli?

Rick Fornelli (NPI 1316998263) received approximately $91K in total Medicare Part B payments, serving 420 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1316998263

Rick FornelliM.D.

OtolaryngologyErie, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

816

Unique beneficiaries

—

Total services

2,343

Distinct HCPCS

Medicare payment

$76K

Peer benchmark

Total Medicare services vs. 404 Otolaryngology providers in PA — top quintile (cohort median 977).

PRESCRIBING · PART D · 2024

Total Rx claims

874

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

5.8%

Top prescribed drugs

Fluticasone Propionate191 claims

Azelastine Hcl168 claims

Ipratropium Bromide78 claims

Mupirocin65 claims

Levothyroxine Sodium58 claims

QUALITY · MIPS · 2024

Final MIPS score

81.9

Quality

65.8

Cost

73.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.29%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 330239

Hospital

CCN 390063

Hospital

REFERRAL NETWORK

Where Rick Fornelli'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). 12 inbound referrers · 17 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Associated Clinical Laboratories Clinical Laboratory · Erie, PA	120	388
UPMC HAMOT	85	164
Antonio Pena Diagnostic Radiology · Erie, PA	27	49
WILLIAMS, RICHARD	22	40
Dale Stevens Diagnostic Radiology · Erie, PA	18	27
HILL, JOHN	17	32
David Strasser Cardiology · Erie, PA	14	21
Emergycare, Inc Ambulance Service Provider · Erie, PA	14	34
Joshua Rosenberg Diagnostic Radiology · Las Vegas, NV	14	35
Barry Marchetto Diagnostic Radiology · Sharon, PA	13	23
Andrew Mecca Clinical Cardiac Electrophysiology · Erie, PA	12	18
Richard Kocan Diagnostic Radiology · Erie, PA	11	25

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Associated Clinical Laboratories Clinical Laboratory · Erie, PA	111	351
UPMC HAMOT	89	253
SAINT VINCENT HEALTH CENTER	56	138
UPMC CHAUTAUQUA AT WCA	40	193
Sidney Lipman Otolaryngology · Erie, PA	22	46
Antonio Pena Diagnostic Radiology · Erie, PA	19	27
Emergycare, Inc Ambulance Service Provider · Erie, PA	19	27
Paul Demjanenko Cardiology · Erie, PA	18	35
Stephen Oljeski Diagnostic Radiology · Erie, PA	18	33
Angelo Zerbonia Diagnostic Radiology · Erie, PA	14	27
PARKS, BARRY	14	31
WILLIAMS, RICHARD	13	30

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events