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PROVIDER PROFILE · NPI 1831169515

John GuminaM.D.

PRACTICEORTHOPAEDIC INSTITUTE OF CENTRAL JERSEYSee all providers at this practice →
Family PracticeFreehold, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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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
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,294
Unique beneficiaries
—
Total services
3,088
Distinct HCPCS
16
Medicare payment
$132K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
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
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
132
By payment type
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
PhysicianPatientsVisits
MERIDIAN HOSPITALS CORPORATION3941,721
CENTRASTATE MEDICAL CENTER, INC78298
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
4192
Christine Coyle
Nurse Practitioner · Freehold, NJ
30161
Ira Strauss
Internal Medicine · Brick, NJ
2171
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION2148
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
2094
KEKLAK, C.2040
Janet Spector
Diagnostic Radiology · Freehold, NJ
1732
Randy Rowlands
Internal Medicine · Ocean, NJ
1739
Sreelatha Anne
Family Practice · Howell, NJ
1642
Michael Carroll
Diagnostic Radiology · East Brunswick, NJ
1522
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.