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PROVIDER PROFILE · NPI 1649242603

James MartoneMD

OphthalmologyHamden, CTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
87.4
Quality
77.4
Cost
74.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.52%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
105
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
5
Brand share
16.2%
Top prescribed drugs
Latanoprost40 claims
Dorzolamide Hcl18 claims
Neomycin/Polymyxin B/Dexametha17 claims
Brimonidine Tartrate15 claims
Timolol Maleate15 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$295
Payment records
3
By payment type
Food and Beverage$295
REFERRAL NETWORK

Where James Martone'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Llc
Clinical Laboratory · Wallingford, CT
188549
Frederic Mendelsohn
Psychiatry & Neurology · Ronkonkoma, NY
7896
HARTFORD HEALTHCARE LABORATORIES54139
MIDSTATE MEDICAL CENTER1956
David Tom
Ophthalmology · Hamden, CT
1741
Yale University
Clinical Laboratory · New Haven, CT
1723
American Medical Response Of Connecticut Incorporated
Ambulance Service Provider · New Haven, CT
1732
BLOCK, KALVIN1629
Richard Dean
Urology · New Haven, CT
1339
VISITING NURSE ASSOCIATION COMMUNITY HEALTHCARE, INC1222
Babu Kumar
Internal Medicine · Hamden, CT
1221
Gail Campbell
Certified Registered Nurse Anesthetist (CRNA) · Bridgeport, CT
1223
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
210
Unique beneficiaries
—
Total services
262
Distinct HCPCS
5
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 255 Ophthalmology providers in CT — bottom quintile (cohort median 1,669).