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PROVIDER PROFILE · NPI 1437270907

James MonicaMD

PRACTICEORTHONJ LLCSee all providers at this practice →
Hand SurgerySomerset, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
51
Beneficiaries
—
Total drug cost
$153
Distinct drugs
2
Brand share
60.8%
Top prescribed drugs
Oxycodone Hcl/Acetaminophen31 claims
Amoxicillin20 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$566
Payment records
11
By payment type
Food and Beverage$566
Top paying entities
Food and Beverage$566
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,272
Unique beneficiaries
—
Total services
8,447
Distinct HCPCS
19
Medicare payment
$106K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 59 Hand Surgery providers in NJ — top quintile (cohort median 2,549).
REFERRAL NETWORK

Where James Monica'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). 11 inbound referrers · 27 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COYLE, MICHAEL71473
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC66230
Mark Butler
Orthopedic Surgery · Somerset, NJ
49190
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
42120
SAINT PETER'S UNIVERSITY HOSPITAL37158
COOK, STEPHEN34116
Gino Chiappetta
Orthopedic Surgery · Somerset, NJ
30101
David Harwood
Orthopedic Surgery · Somerset, NJ
1752
Judith Amorosa
Diagnostic Radiology · East Brunswick, NJ
1329
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1236
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL INC1119
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Mark Butler
Orthopedic Surgery · Somerset, NJ
58262
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
53135
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC43124
Timothy Leddy
Orthopedic Surgery · Somerset, NJ
42525
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
4085
COYLE, MICHAEL37311
Charles Gatt
Orthopedic Surgery · Somerset, NJ
34105
SAINT PETER'S UNIVERSITY HOSPITAL31139
COOK, STEPHEN2985
University Center For Ambulatory Surgery, Llc
Ambulatory Surgical Center · Somerset, NJ
2884
Gino Chiappetta
Orthopedic Surgery · Somerset, NJ
2271
NPI 17301846802151
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.