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PROVIDER PROFILE · NPI 1407898307

Marilyn D'andrea-SpicaMD

PRACTICEREHABCLINICS INCSee all providers at this practice →
Internal MedicineLancaster, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
105
Unique beneficiaries
—
Total services
136
Distinct HCPCS
5
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,434 Internal Medicine providers in PA — bottom quintile (cohort median 550).
PRESCRIBING · PART D · 2024
Total Rx claims
2,501
Beneficiaries
—
Total drug cost
$132K
Distinct drugs
76
Brand share
19.1%
Top prescribed drugs
Levothyroxine Sodium115 claims
Potassium Chloride114 claims
Gabapentin112 claims
Pantoprazole Sodium85 claims
Sertraline Hcl81 claims
QUALITY · MIPS · 2024
Final MIPS score
82.8
Quality
65.8
Cost
77.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.33%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Marilyn D'andrea-Spica'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). 86 inbound referrers · 92 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LANCASTER GENERAL HOSPITAL3721,404
LANCASTER REHABILITATION HOSPITAL, LLP318646
NPI 10432399732742,780
Lancaster Emergency Medical Services Association
Ambulance Service Provider · Millersville, PA
140358
LAVIGNE-LANGENSTEIN, KERI121996
Melissa Mckernan Pulliam
Clinical Cardiac Electrophysiology · Lancaster, PA
84235
Jeffrey Thompson
Physical Medicine and Rehabilitation · Avon, OH
84625
Jeffrey Kramer
Diagnostic Radiology · Allentown, PA
82192
John Briguglio
Diagnostic Radiology · Hershey, PA
67165
Patrick Weybright
Diagnostic Radiology · Lancaster, PA
67158
SHEAFFER, EVELYN57107
Robert Gress
Diagnostic Radiology · Lancaster, PA
47130
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NPI 10432399732893,256
LANCASTER GENERAL HOSPITAL255970
Philip Jantzi
Internal Medicine · Lancaster, PA
201527
LAVIGNE-LANGENSTEIN, KERI1231,030
MOSHOS, GEORGIA88196
LEFEVER, LAURA86431
AFFILIA HOME HEALTH86147
Jeffrey Thompson
Physical Medicine and Rehabilitation · Avon, OH
83814
Swapna Deshpande
Internal Medicine · Lancaster, PA
79163
JULIANO, SUSAN5389
SCHIMKE, LEANNE52373
SHEAFFER, EVELYN5296
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.