What is Theodore Falk's specialty?

Theodore Falk (NPI 1912967464) is a Medicare-billing provider whose primary specialty is Allergy/ Immunology in River Edge, NJ.

Where does Theodore Falk practice?

Theodore Falk practices in River Edge, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1912967464.

How much does Medicare pay Theodore Falk?

Theodore Falk (NPI 1912967464) received approximately $201K in total Medicare Part B payments, serving 275 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1912967464

Theodore FalkMD

Allergy/ ImmunologyRiver Edge, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,127

Unique beneficiaries

—

Total services

12,690

Distinct HCPCS

Medicare payment

$195K

Peer benchmark

Total Medicare services vs. 132 Allergy/ Immunology providers in NJ — top quintile (cohort median 3,350).

PRESCRIBING · PART D · 2024

Total Rx claims

1,850

Beneficiaries

—

Total drug cost

$1.4M

Distinct drugs

Brand share

46.8%

Top prescribed drugs

Montelukast Sodium179 claims

Albuterol Sulfate134 claims

Fluticasone Propion/Salmeterol127 claims

Fluticasone Propionate123 claims

Azelastine Hcl115 claims

QUALITY · MIPS · 2024

Final MIPS score

21.2

Quality

0.0

Cost

70.7

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.45%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

123

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

REFERRAL NETWORK

Where Theodore Falk'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
HOLY NAME MEDICAL CENTER INC.	72	547
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	68	376
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	61	318
ENGLEWOOD HOSPITAL AND MEDICAL CENTER	45	527
HMH HOSPITALS CORPORATION	32	120
THE VALLEY HOSPITAL INC.	27	145
Yijun Guo Pathology · Wilkes-Barre, PA	12	33
James Park Diagnostic Radiology · Teaneck, NJ	12	21

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