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PROVIDER PROFILE · NPI 1568583813

Enzo FalloneM.D.

PathologyRochester, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
892
Unique beneficiaries
—
Total services
1,285
Distinct HCPCS
14
Medicare payment
$29K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 981 Pathology providers in NY — above median (cohort median 1,244).
REFERRAL NETWORK

Where Enzo Fallone'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). 13 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ROCHESTER GENERAL HOSPITAL177541
UNIVERSITY OF ROCHESTER3275
ACM MEDICAL LABORATORY INC2857
Allyson Haymes
Diagnostic Radiology · Canandaigua, NY
1939
Andrea Zucchiatti
General Surgery · Batavia, NY
1969
Raheel Ahmad
Internal Medicine · Williamsville, NY
1631
Joy Michaelides
Urology · Rochester, NY
1448
Jeffrey Goldstein
Gastroenterology · Deland, FL
1440
WYOMING COUNTY1325
MATEY, MARSHA1314
Melanie Mcnally
Urology · Auburn, NY
1330
Jason Donovan
Physician Assistant · Rochester, NY
1329
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.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
96.6
Quality
74.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.91%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$612
Payment records
3
By payment type
Travel and Lodging$448
Food and Beverage$164