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PROVIDER PROFILE · NPI 1457325086

Marc SpirnMD

OphthalmologyPlymouth Meeting, 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
5,308
Unique beneficiaries
—
Total services
84,718
Distinct HCPCS
20
Medicare payment
$6.5M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 810 Ophthalmology providers in PA — top quintile (cohort median 1,854).
PRESCRIBING · PART D · 2024
Total Rx claims
690
Beneficiaries
—
Total drug cost
$40K
Distinct drugs
12
Brand share
26.2%
Top prescribed drugs
Prednisolone Acetate234 claims
Dorzolamide Hcl/Timolol Maleat135 claims
Ketorolac Tromethamine77 claims
Difluprednate64 claims
Ofloxacin40 claims
QUALITY · MIPS · 2024
Final MIPS score
97.5
Quality
96.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.95%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Marc Spirn'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). 23 inbound referrers · 38 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
193338
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
148281
ST LUKES HOSPITAL42101
CAPE REGIONAL MEDICAL CENTER, INC3860
ATLANTICARE REGIONAL MEDICAL CENTER3166
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC2750
VIRTUA OUR LADY OF LOURDES HOSPITAL INC2432
Michael Caruso
Ophthalmology · Margate City, NJ
2243
LANSDALE HOSPITAL CORPORATION2257
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
2039
DOYLESTOWN HOSPITAL1938
KENNEDY UNIVERSITY HOSPITAL INC.1955
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
168306
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
146261
CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS61104
Health Network Laboratories, Llc
Clinical Laboratory · Allentown, PA
4496
ST LUKES HOSPITAL44110
THE COOPER HEALTH SYSTEM4069
GRAND VIEW HOSPITAL3594
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA34100
ABINGTON MEMORIAL HOSPITAL3393
CAPE REGIONAL MEDICAL CENTER, INC3366
ATLANTICARE REGIONAL MEDICAL CENTER3268
VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.3161
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.