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PROVIDER PROFILE · NPI 1487744223

Veronica PinedaDO

PRACTICEPINEDA MEDICAL ASSOCIATES LLCSee all providers at this practice →
Family PracticeBayonne, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
125
Unique beneficiaries
—
Total services
207
Distinct HCPCS
2
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,769 Family Practice providers in NJ — bottom quintile (cohort median 715).
REFERRAL NETWORK

Where Veronica Pineda'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). 2 inbound referrers · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
67181
Edward Fobben
Diagnostic Radiology · Chatham, NJ
1737
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
IJKG OPCO LLC4098
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2749
Edward Fobben
Diagnostic Radiology · Chatham, NJ
1629
JERSEY CITY MEDICAL CENTER1533
PINEDA MEDICAL ASSOCIATES LLC1424
Keith Gurland
Ophthalmology · Bayonne, NJ
1225
Edson Pineda
Nurse Practitioner · Bayonne, NJ
1123
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.
PRESCRIBING · PART D · 2024
Total Rx claims
3,257
Beneficiaries
—
Total drug cost
$374K
Distinct drugs
74
Brand share
19.2%
Top prescribed drugs
Lisinopril206 claims
Metformin Hcl202 claims
Levothyroxine Sodium182 claims
Simvastatin170 claims
Amlodipine Besylate161 claims
QUALITY · MIPS · 2024
Final MIPS score
85.2
Quality
71.6
Cost
76.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.43%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$221
Payment records
6
By payment type
Food and Beverage$221