What is Richard Formica's specialty?

Richard Formica (NPI 1730163502) is a Medicare-billing provider whose primary specialty is Nephrology in New Haven, CT.

Where does Richard Formica practice?

Richard Formica practices in New Haven, CT, based on the location reported in the CMS Medicare provider datasets for NPI 1730163502.

How much does Medicare pay Richard Formica?

Richard Formica (NPI 1730163502) received approximately $46K in total Medicare Part B payments, serving 235 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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