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PROVIDER PROFILE · NPI 1902974983

Mark FallsMD

OphthalmologyVienna, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
72.4
Quality
98.4
Cost
10.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-0.32%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
698
Beneficiaries
—
Total drug cost
$46K
Distinct drugs
12
Brand share
20.5%
Top prescribed drugs
Latanoprost305 claims
Timolol Maleate76 claims
Dorzolamide Hcl/Timolol Maleat60 claims
Prednisolone Acetate45 claims
Dorzolamide Hcl40 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$189
Payment records
7
By payment type
Food and Beverage$189
REFERRAL NETWORK

Where Mark Falls'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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
174361
Jack Stabile
Anesthesiology · Falls Church, VA
50126
Jarrod Fraser
Anesthesiology · Falls Church, VA
42104
CAPOZZOLI, STEPHANIE3591
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
2230
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
2241
SOLSTAS LAB PARTNERS GROUP LLC2042
RESTON HOSPITAL CENTER LLC1635
Leslie Gavora
Internal Medicine · Vienna, VA
1427
BETHESDA DERMATOPATHOLOGY LAB INC.1213
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
1115
David Leonard
Family Practice · Fairfax, VA
1115
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,563
Unique beneficiaries
—
Total services
2,939
Distinct HCPCS
12
Medicare payment
$289K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 445 Ophthalmology providers in VA — above median (cohort median 2,782).