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PROVIDER PROFILE · NPI 1417062357

Robert FalesMD

Internal MedicineMiddletown, CTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
408
Unique beneficiaries
—
Total services
673
Distinct HCPCS
10
Medicare payment
$38K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,650 Internal Medicine providers in CT — above median (cohort median 549).
PRESCRIBING · PART D · 2024
Total Rx claims
5,187
Beneficiaries
—
Total drug cost
$357K
Distinct drugs
101
Brand share
26.6%
Top prescribed drugs
Rsvpref3 Antigen/As01e/Pf318 claims
Lisinopril271 claims
Atorvastatin Calcium229 claims
Varicella-Zoster Ge/As01b/Pf209 claims
Tamsulosin Hcl207 claims
REFERRAL NETWORK

Where Robert Fales'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). 16 inbound referrers · 32 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Adam Elias
Diagnostic Radiology · Bedford, NH
2541
Julie Lee
Diagnostic Radiology · Lynnwood, WA
2441
Ravi Jain
Diagnostic Radiology · Middletown, CT
2052
Stephen Franklin
Cardiology · Middletown, CT
1838
Nancy Rini
Diagnostic Radiology · Middletown, CT
1731
Manju John
Internal Medicine · Middletown, CT
1533
Roger Luskind
Ophthalmology · Middletown, CT
1444
Michael Crain
Diagnostic Radiology · Middletown, CT
1433
MIDDLESEX HOSPITAL1460
ROCCO, ELIZABETH1365
Marc Aronson
Psychiatry · Middletown, CT
1236
Jeffrey Takahashi
Diagnostic Radiology · Middletown, CT
1222
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MIDDLESEX HOSPITAL3331,600
Nancy Rini
Diagnostic Radiology · Middletown, CT
2457
Zaixiang Zhang
Diagnostic Radiology · Middletown, CT
2472
Joseph Corning
Cardiology · Middletown, CT
2248
WALDEN, CRAIG2248
Thomas Beggins
Ophthalmology · Middletown, CT
2246
Roger Luskind
Ophthalmology · Middletown, CT
2053
Julie Lee
Diagnostic Radiology · Lynnwood, WA
2034
David Gallo
Cardiology · Middletown, CT
1944
Adam Elias
Diagnostic Radiology · Bedford, NH
1929
Ravi Jain
Diagnostic Radiology · Middletown, CT
1943
HARTFORD HOSPITAL1936
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.