What is Michael Pavlica's specialty?

Michael Pavlica (NPI 1699735613) is a Medicare-billing provider whose primary specialty is Ophthalmology in Lancaster, PA.

Where does Michael Pavlica practice?

Michael Pavlica practices in Lancaster, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1699735613.

How much does Medicare pay Michael Pavlica?

Michael Pavlica (NPI 1699735613) received approximately $558K in total Medicare Part B payments, serving 866 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1699735613

Michael PavlicaMD

OphthalmologyLancaster, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,668

Unique beneficiaries

—

Total services

6,316

Distinct HCPCS

Medicare payment

$493K

Peer benchmark

Total Medicare services vs. 810 Ophthalmology providers in PA — top quintile (cohort median 1,854).

PRESCRIBING · PART D · 2024

Total Rx claims

2,824

Beneficiaries

—

Total drug cost

$238K

Distinct drugs

Brand share

20.5%

Top prescribed drugs

Latanoprost860 claims

Brimonidine Tartrate467 claims

Prednisolone Acetate249 claims

Timolol Maleate220 claims

Netarsudil Mesylate188 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$759

Payment records

By payment type

Food and Beverage$759

Top paying entities

Food and Beverage$759

REFERRAL NETWORK

Where Michael Pavlica'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). 18 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LANCASTER GENERAL HOSPITAL	270	1,227
EPHRATA COMMUNITY HOSPITAL	76	332
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	32	81
ROSE CITY HMA LLC	29	76
Anh Nguyen-Liang Optometry · Lancaster, PA	21	54
Seth Worley Clinical Cardiac Electrophysiology · Lancaster, PA	16	58
John Legere Dermatology · Lancaster, PA	15	29
David Silbert Ophthalmology · Lancaster, PA	14	36
Tareck Nossuli Advanced Heart Failure and Transplant Cardiology · Lancaster, PA	13	33
Tatjana Sljapic Clinical Cardiac Electrophysiology · Brick, NJ	12	51
Jeffrey Kramer Diagnostic Radiology · Allentown, PA	12	30
George Angheloiu Cardiology · Manheim, PA	11	25

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history