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PROVIDER PROFILE · NPI 1407899727

Richard RosenthalMD

Internal MedicineMonroeville, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Richard Rosenthal'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). 1 inbound referrers · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COSTLOW, JAMES123436
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COSTLOW, JAMES49216
Quest Diagnostics Venture Llc
Clinical Laboratory · Pittsburgh, PA
39118
WEST PENN ALLEGHENY HEALTH SYSTEM INC.39120
Gregory Francken
Diagnostic Radiology · Monroeville, PA
3151
UPMC PRESBYTERIAN SHADYSIDE1323
WEST PENN ALLEGHENY HEALTH SYSTEM INC1140
Kenneth Mcgaffin
Cardiology · Monroeville, PA
1128
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
579
Unique beneficiaries
—
Total services
759
Distinct HCPCS
10
Medicare payment
$63K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,434 Internal Medicine providers in PA — above median (cohort median 550).
PRESCRIBING · PART D · 2024
Total Rx claims
12,497
Beneficiaries
—
Total drug cost
$834K
Distinct drugs
147
Brand share
17.8%
Top prescribed drugs
Atorvastatin Calcium667 claims
Amlodipine Besylate537 claims
Lisinopril501 claims
Rosuvastatin Calcium491 claims
Pantoprazole Sodium462 claims
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
85.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$102
Payment records
1
By payment type
Food and Beverage$102