What is John Gumina's specialty?

John Gumina (NPI 1831169515) is a Medicare-billing provider whose primary specialty is Family Practice in Freehold, NJ.

Where does John Gumina practice?

John Gumina practices in Freehold, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1831169515.

How much does Medicare pay John Gumina?

John Gumina (NPI 1831169515) received approximately $141K in total Medicare Part B payments, serving 323 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1831169515

John GuminaM.D.

PRACTICEORTHOPAEDIC INSTITUTE OF CENTRAL JERSEYSee all providers at this practice →

Family PracticeFreehold, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,294

Unique beneficiaries

—

Total services

3,088

Distinct HCPCS

Medicare payment

$132K

Peer benchmark

Total Medicare services vs. 1,769 Family Practice providers in NJ — top quintile (cohort median 715).

PRESCRIBING · PART D · 2024

Total Rx claims

7,745

Beneficiaries

—

Total drug cost

$762K

Distinct drugs

133

Brand share

23.4%

Top prescribed drugs

Rosuvastatin Calcium401 claims

Levothyroxine Sodium319 claims

Olmesartan Medoxomil297 claims

Atorvastatin Calcium290 claims

Alprazolam275 claims

QUALITY · MIPS · 2024

Final MIPS score

96.1

Quality

86.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.89%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

132

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

REFERRAL NETWORK

Where John Gumina'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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MERIDIAN HOSPITALS CORPORATION	394	1,721
CENTRASTATE MEDICAL CENTER, INC	78	298
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	41	92
Christine Coyle Nurse Practitioner · Freehold, NJ	30	161
Ira Strauss Internal Medicine · Brick, NJ	21	71
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION	21	48
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	20	94
KEKLAK, C.	20	40
Janet Spector Diagnostic Radiology · Freehold, NJ	17	32
Randy Rowlands Internal Medicine · Ocean, NJ	17	39
Sreelatha Anne Family Practice · Howell, NJ	16	42
Michael Carroll Diagnostic Radiology · East Brunswick, NJ	15	22

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events