PROVIDER PROFILE · NPI 1730163502

Richard FormicaMD

NephrologyNew Haven, CTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

430

Unique beneficiaries

—

Total services

732

Distinct HCPCS

Medicare payment

$42K

Peer benchmark

Total Medicare services vs. 109 Nephrology providers in CT — below median (cohort median 1,019).

PRESCRIBING · PART D · 2024

Total Rx claims

3,104

Beneficiaries

—

Total drug cost

$324K

Distinct drugs

Brand share

13.0%

Top prescribed drugs

Prednisone534 claims

Amlodipine Besylate243 claims

Famotidine236 claims

Carvedilol209 claims

Cinacalcet Hcl144 claims

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

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$73K

Payment records

By payment type

Consulting Fee$46K

Travel and Lodging$14K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$11K

Food and Beverage$1K

REFERRAL NETWORK

Where Richard Formica'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). 46 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
William Asch Nephrology · New Haven, CT	219	1,374
YALE NEW HAVEN HOSPITAL	144	494
Quest Diagnostics Llc Clinical Laboratory · Wallingford, CT	144	1,098
Margaret Bia Internal Medicine · New Haven, CT	128	943
Yale University Clinical Laboratory · New Haven, CT	126	508
Isaac Hall Nephrology · Durango, CO	93	398
Sanjay Kulkarni General Surgery · New Haven, CT	56	248
Peter Yoo General Surgery · Hartford, CT	56	334
American Medical Response Of Connecticut Incorporated Ambulance Service Provider · New Haven, CT	47	142
Lisa Fox Nurse Practitioner · New Haven, CT	46	176
RODRIGUEZ-DAVALOS, MANUEL	42	226
David Mulligan General Surgery · Seattle, WA	40	205

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