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PROVIDER PROFILE · NPI 1326048067

John PagliaMD

Orthopedic SurgeryE Stroudsburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
81.2
Quality
64.4
Cost
73.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.26%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 330135
Hospital
CCN 390049
Hospital
CCN 390183
Hospital
CCN 390201
Hospital
CCN 390330
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$76
Payment records
4
By payment type
Food and Beverage$76
PRESCRIBING · PART D · 2024
Total Rx claims
227
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
6
Brand share
7.9%
Top prescribed drugs
Meloxicam65 claims
Celecoxib52 claims
Diclofenac Sodium45 claims
Ibuprofen28 claims
Naproxen19 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,691
Unique beneficiaries
—
Total services
17,473
Distinct HCPCS
31
Medicare payment
$164K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 974 Orthopedic Surgery providers in PA — top quintile (cohort median 1,699).
REFERRAL NETWORK

Where John Paglia'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). 9 inbound referrers · 13 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST LUKES HOSPITAL-ANDERSON CAMPUS3497
NPI 128585974431113
Gordon Fried
Cardiology · East Stroudsburg, PA
1436
NPI 10231946281427
Javed Malik
Diagnostic Radiology · East Stroudsburg, PA
1437
Sandro Rodrigues
Diagnostic Radiology · East Stroudsburg, PA
1238
Michael Eufemio
Urology · East Stroudsburg, PA
1149
William Kesselring
Internal Medicine · East Stroudsburg, PA
1136
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1124
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
POCONO MEDICAL CENTER107466
ST LUKES HOSPITAL-ANDERSON CAMPUS3284
POCONO IMAGING PARTNERS, LLP2974
NPI 12858597442766
Rajwinder Singh
Diagnostic Radiology · East Stroudsburg, PA
1529
Allister Williams
Orthopedic Surgery · East Stroudsburg, PA
1452
Thomas Berryman
Podiatry · East Stroudsburg, PA
1333
Frederick Barnes
Orthopedic Surgery · E Stroudsburg, PA
1348
ROTHMAN, MICHAEL1234
Benjamin Cooper
Diagnostic Radiology · Lakewood, CO
1228
Sandro Rodrigues
Diagnostic Radiology · East Stroudsburg, PA
1119
NERI, RANDY1171
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.