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PROVIDER PROFILE · NPI 1417967019

Frank RuizMD

GastroenterologyClifton, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$763
Payment records
30
By payment type
Food and Beverage$763
QUALITY · MIPS · 2024
Final MIPS score
85.5
Quality
68.8
Cost
76.2
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.44%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
755
Beneficiaries
—
Total drug cost
$13K
Distinct drugs
9
Brand share
7.0%
Top prescribed drugs
Pantoprazole Sodium487 claims
Sucralfate55 claims
Hydrocortisone37 claims
Esomeprazole Magnesium31 claims
Omeprazole31 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
392
Unique beneficiaries
—
Total services
649
Distinct HCPCS
11
Medicare payment
$49K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 544 Gastroenterology providers in NJ — below median (cohort median 963).
REFERRAL NETWORK

Where Frank Ruiz'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). 15 inbound referrers · 30 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CARNI, ABBE6893
HERBSTMAN, CHARLES53158
Eliezer Seguerra
Pathology · Newark, NJ
4258
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
3898
Farhad Setoodeh
Pathology · Passaic, NJ
3879
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
33116
Rodolfo Munera
Internal Medicine · Clifton, NJ
3299
Kenneth Zierer
Gastroenterology · Rutherford, NJ
3293
John Cubero
Internal Medicine · Clifton, NJ
2155
Ahmed Mekkawy
Pulmonary Disease · Clifton, NJ
17114
NARANG, RAVINDER1536
City Of Clifton
Ambulance Service Provider · Clifton, NJ
1439
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Affiliated Endoscopy Services Of Clifton Llc
Ambulatory Surgical Center · Clifton, NJ
94193
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC74170
Dianon Systems, Inc
Clinical Laboratory · Shelton, CT
65133
Eliezer Seguerra
Pathology · Newark, NJ
5686
CARNI, ABBE5059
Michael Edwards
Diagnostic Radiology · Passaic, NJ
48122
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
39133
HERBSTMAN, CHARLES3883
Kenneth Zierer
Gastroenterology · Rutherford, NJ
36162
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
3486
Pulse Medical Transportation
Ambulance Service Provider · Wayne, NJ
3388
ST JOSEPHS UNIVERSITY MEDICAL CENTER INC.3260
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.