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PROVIDER PROFILE · NPI 1538328141

Justin PengMD

RheumatologyWashington, DCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Justin Peng'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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
David Wolfe
Rheumatology · Chevy Chase, MD
3351
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
1669
David Borenstein
Rheumatology · Washington, DC
1123
DISTRICT HOSPITAL PARTNERS L P1152
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,636
Unique beneficiaries
—
Total services
40,892
Distinct HCPCS
54
Medicare payment
$613K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 29 Rheumatology providers in DC — top quintile (cohort median 1,150).
PRESCRIBING · PART D · 2024
Total Rx claims
909
Beneficiaries
—
Total drug cost
$1.1M
Distinct drugs
20
Brand share
27.9%
Top prescribed drugs
Methotrexate Sodium152 claims
Prednisone136 claims
Hydroxychloroquine Sulfate84 claims
Alendronate Sodium64 claims
Allopurinol52 claims
QUALITY · MIPS · 2024
Final MIPS score
85.7
Quality
93.4
Cost
59.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$36
Payment records
1
By payment type
Food and Beverage$36