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PROVIDER PROFILE · NPI 1386687713

Michael FroncekM.D.

RheumatologyLawrenceville, NJI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Michael Froncek'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 · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
220743
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
112394
Gina Delgiudice
Rheumatology · Lawrenceville, NJ
4881
CAPITAL HEALTH SYSTEM, INC.2883
CAPITAL HEALTH SYSTEM INC1329
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1114
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
84275
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
83212
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION75221
Gina Delgiudice
Rheumatology · Lawrenceville, NJ
3549
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON35100
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
2573
CAPITAL HEALTH SYSTEM, INC.2156
CAPITAL HEALTH SYSTEM INC1636
Dinash Yanamadula
Interventional Pain Management · Lawrenceville, NJ
1384
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
787
Unique beneficiaries
—
Total services
1,501
Distinct HCPCS
4
Medicare payment
$84K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 179 Rheumatology providers in NJ — below median (cohort median 19,050).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
1,461
Beneficiaries
—
Total drug cost
$1.1M
Distinct drugs
26
Brand share
23.8%
Top prescribed drugs
Prednisone255 claims
Methotrexate Sodium212 claims
Allopurinol145 claims
Hydroxychloroquine Sulfate114 claims
Leflunomide111 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.