PROVIDER PROFILE · NPI 1720090079

Michael MaineroM.D.

PRACTICEMICHAEL M. MAINERO, M.D.,P.A.See all providers at this practice →

GastroenterologyWest Paterson, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,182

Unique beneficiaries

—

Total services

22,436

Distinct HCPCS

Medicare payment

$527K

Peer benchmark

Total Medicare services vs. 544 Gastroenterology providers in NJ — top quintile (cohort median 963).

PRESCRIBING · PART D · 2024

Total Rx claims

2,358

Beneficiaries

—

Total drug cost

$216K

Distinct drugs

Brand share

10.8%

Top prescribed drugs

Pantoprazole Sodium489 claims

Famotidine387 claims

Omeprazole107 claims

Metformin Hcl91 claims

Atorvastatin Calcium83 claims

QUALITY · MIPS · 2024

Final MIPS score

82.9

Quality

68.9

Cost

74.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.33%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$987

Payment records

By payment type

Food and Beverage$987

REFERRAL NETWORK

Where Michael Mainero'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). 29 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CARNI, ABBE	164	238
Eliezer Seguerra Pathology · Newark, NJ	90	122
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	89	188
Ralph Wheeler Diagnostic Radiology · Wayne, NJ	32	106
Michael Duhaney Diagnostic Radiology · Summit, NJ	27	84
Michael Steinberg Diagnostic Radiology · Wayne, NJ	25	91
Steven Festa Diagnostic Radiology · Wayne, NJ	24	94
Roberto Solis Pulmonary Disease · West Paterson, NJ	21	83
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	18	49
GUPTA, ASHOK	18	41
Patrick Hines Diagnostic Radiology · Nutley, NJ	17	55
Richard Laudadio Internal Medicine · Florham Park, NJ	17	33

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