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PROVIDER PROFILE · NPI 1659339133

Scott ModenaM.D.

GastroenterologyMedford, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
81.2
Quality
62.3
Cost
74.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.26%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
870
Beneficiaries
—
Total drug cost
$91K
Distinct drugs
14
Brand share
21.7%
Top prescribed drugs
Pantoprazole Sodium290 claims
Omeprazole145 claims
Sodium, Potassium,mag Sulfates110 claims
Dicyclomine Hcl60 claims
Esomeprazole Magnesium47 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
517
Unique beneficiaries
—
Total services
579
Distinct HCPCS
10
Medicare payment
$72K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 544 Gastroenterology providers in NJ — below median (cohort median 963).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$532
Payment records
26
By payment type
Food and Beverage$532
REFERRAL NETWORK

Where Scott Modena'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). 27 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
65171
Endoscopy Center At St Mary
Ambulatory Surgical Center · Langhorne, PA
4490
Craig Barash
Gastroenterology · Langhorne, PA
43148
CHOI, MATTHEW3982
Mt Laurel Endoscopy Center L P
Ambulatory Surgical Center · Mount Laurel, NJ
3539
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
3499
VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY, INC.2871
Angela Frates
Gastroenterology · Medford, NJ
2582
Joseph Kim
Diagnostic Radiology · Hamilton, NJ
1933
Brian Tait
Certified Registered Nurse Anesthetist (CRNA) · Langhorne, PA
1743
Jing Zhou
Pathology · Bryn Mawr, PA
1534
Jonathan Gold
Cardiology · Langhorne, PA
1454
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.