What is Michael Guma's specialty?

Michael Guma (NPI 1376655407) is a Medicare-billing provider whose primary specialty is Rheumatology in North Arlington, NJ.

Where does Michael Guma practice?

Michael Guma practices in North Arlington, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1376655407.

How much does Medicare pay Michael Guma?

Michael Guma (NPI 1376655407) received approximately $517K in total Medicare Part B payments, serving 325 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1376655407

Michael GumaD.O.

RheumatologyNorth Arlington, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

888

Unique beneficiaries

—

Total services

10,731

Distinct HCPCS

Medicare payment

$330K

Peer benchmark

Total Medicare services vs. 179 Rheumatology providers in NJ — above median (cohort median 19,050).

PRESCRIBING · PART D · 2024

Total Rx claims

2,925

Beneficiaries

—

Total drug cost

$3.4M

Distinct drugs

Brand share

28.5%

Top prescribed drugs

Methotrexate Sodium407 claims

Hydroxychloroquine Sulfate400 claims

Meloxicam310 claims

Duloxetine Hcl248 claims

Prednisone246 claims

QUALITY · MIPS · 2024

Final MIPS score

85.2

Quality

71.6

Cost

76.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.43%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$761

Payment records

By payment type

Food and Beverage$761

Top paying entities

Food and Beverage$761

REFERRAL NETWORK

Where Michael Guma'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 · 19 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	81	168
HMH HOSPITALS CORPORATION	37	71
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	23	53
Asim Dikengil Diagnostic Radiology · Lyndhurst, NJ	20	34
Edward Fobben Diagnostic Radiology · Chatham, NJ	18	59
Christopher Boni Internal Medicine · Berkeley Heights, NJ	12	36

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MEDICAL LABORATORY DIAGNOSTICS, INC.	204	611
HMH HOSPITALS CORPORATION	86	209
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	54	115
Quest Diagnostics Incorporated Clinical Laboratory · Clifton, NJ	50	131
IJKG OPCO LLC	41	101
ACCURATE DIAGNOSTICS LABS, INC.	41	94
Sushama Mody Rheumatology · Secaucus, NJ	30	82
CLARA MAASS MEDICAL CENTER	26	40
Asim Dikengil Diagnostic Radiology · Lyndhurst, NJ	23	33
SAINT MICHAEL'S MEDICAL CENTER, INC.	22	99
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	20	46
Edward Fobben Diagnostic Radiology · Chatham, NJ	20	47

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