PROVIDER PROFILE · NPI 1699866871

Ilia SegalMD

PRACTICEPULMONARY & CRITICAL CARE ASSOCIATES,LLCSee all providers at this practice →

Internal MedicineUnion, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,236

Unique beneficiaries

—

Total services

1,879

Distinct HCPCS

Medicare payment

$139K

Peer benchmark

Total Medicare services vs. 3,616 Internal Medicine providers in NJ — top quintile (cohort median 895).

PRESCRIBING · PART D · 2024

Total Rx claims

2,928

Beneficiaries

—

Total drug cost

$5.0M

Distinct drugs

Brand share

68.5%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter721 claims

Albuterol Sulfate330 claims

Montelukast Sodium209 claims

Macitentan175 claims

Budesonide/Glycopyr/Formoterol129 claims

QUALITY · MIPS · 2024

Final MIPS score

98.5

Quality

84.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.99%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

101

By payment type

Food and Beverage$2K

REFERRAL NETWORK

Where Ilia Segal'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). 37 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Cooperman Barnabas Medical Center Inc Medicare Diabetes Preventive Program · Livingston, NJ	76	226
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	72	379
Edward Fobben Diagnostic Radiology · Chatham, NJ	66	221
Mccabe Ambulance Service Inc. Ambulance Service Provider · Bayonne, NJ	40	62
Rnj Services, Inc Clinical Laboratory · Edison, NJ	40	96
Ludmila Gudz Internal Medicine · Union, NJ	37	169
Jack Boghossian Infectious Disease · Bayonne, NJ	34	74
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	30	115
Howard Kessler Diagnostic Radiology · Meadowbrook, PA	28	51
Zinaida Kopylenko Podiatry · Manalapan, NJ	27	162
Accu Reference Medical Lab, Llc Clinical Laboratory · Linden, NJ	26	139
IJKG OPCO LLC	25	32

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