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PROVIDER PROFILE · NPI 1619017910

Gerard CusaM.D.

PRACTICEGERARD J. CUSA M.D., PLLCSee all providers at this practice →
GastroenterologyHicksville, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
93.1
Quality
79.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
88.8
Payment adjustment
0.76%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
363
Beneficiaries
—
Total drug cost
$78K
Distinct drugs
10
Brand share
32.2%
Top prescribed drugs
Omeprazole106 claims
Famotidine64 claims
Pantoprazole Sodium46 claims
Sodium, Potassium,mag Sulfates39 claims
Lipase/Protease/Amylase26 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Gerard Cusa'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PLAINVIEW HOSPITAL34116
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
3482
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
2591
NORTH SHORE UNIVERSITY HOSPITAL2566
FU, SHIH-HAO2239
Dominic Altieri
Diagnostic Radiology · Stony Brook, NY
2157
Samuel Kim
Diagnostic Radiology · Poughkeepsie, NY
1945
Venugopal Palla
Cardiology · Syosset, NY
1536
Cohen Dermatopathology, P.C.
Clinical Laboratory · Needham, MA
1226
ENZO CLINICAL LABS, INC.1122
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
103
Unique beneficiaries
—
Total services
110
Distinct HCPCS
4
Medicare payment
$10K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,360 Gastroenterology providers in NY — bottom quintile (cohort median 521).