PROVIDER PROFILE · NPI 1831382670

Robert MalcolmMD

PRACTICEST. LUKE'S PHYSICIAN GROUP, INC.See all providers at this practice →

GastroenterologyEast Stroudsburg, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

890

Unique beneficiaries

—

Total services

935

Distinct HCPCS

Medicare payment

$112K

Peer benchmark

Total Medicare services vs. 771 Gastroenterology providers in PA — above median (cohort median 585).

PRESCRIBING · PART D · 2024

Total Rx claims

974

Beneficiaries

—

Total drug cost

$56K

Distinct drugs

Brand share

7.4%

Top prescribed drugs

Pantoprazole Sodium534 claims

Omeprazole107 claims

Metoclopramide Hcl65 claims

Dicyclomine Hcl43 claims

Linaclotide34 claims

QUALITY · MIPS · 2024

Final MIPS score

97.1

Quality

82.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.93%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Robert Malcolm'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). 82 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1285859744	289	1,380
Sandro Rodrigues Diagnostic Radiology · East Stroudsburg, PA	227	748
Javed Malik Diagnostic Radiology · East Stroudsburg, PA	215	726
NPI 1023194628	201	771
Charles Cohan Gastroenterology · Bartonsville, PA	178	1,001
Pocono Ambulatory Surgery Center Ltd Ambulatory Surgical Center · Stroudsburg, PA	167	312
Gordon Fried Cardiology · East Stroudsburg, PA	150	551
Karthik Sheka Cardiology · East Stroudsburg, PA	144	442
SFORZA, CAROLINA	138	337
Samer Alkhuja Pulmonary Disease · East Stroudsburg, PA	125	535
Anil Gupta Cardiology · East Stroudsburg, PA	118	395
TINSLEY, JOHN	115	255

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