Internal Medicine, Nephrology · New Haven, CT
NPI
1730163502
Since 2005
Specialty
Internal Medicine, Nephrology
Code 207RN0300X
Group practices
1
Medicare group memberships
Hospitals
4
Hospital affiliations
800 Howard Ave, Yale Physicians Building
New Haven, CT, 06519
Phone (203) 785-2140
Groups this clinician bills Medicare through
Medicare paid, 2024
$46K
773 services
Medicare patients, 2024
235
Average age 65
Drug cost, 2024
$431K
3,496 prescriptions
Company payments, 2025
$30K
From 4 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Richard N Formica was code 99214 (office e&m - established), 210 times for 125 patients. In total Richard N Formica billed 773 services in 12 codes, and Medicare paid $46K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2012-03-22.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Facility | 210 | 125 | $76.98 | $16K |
| 99232 Hospital E&M - Subsequent | Facility | 178 | 53 | $60.23 | $11K |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Facility | 155 | 96 | $13.37 | $2,073 |
| 99214 Office E&M - Established | Office | 62 | 46 | $91.85 | $5,695 |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 47 | 35 | $13.46 | $633 |
| 99222 Hospital E&M - Initial | Facility | 42 | 38 | $100.53 | $4,222 |
| 50200 Other Organ Systems | Facility | 20 | 19 | $97.37 | $1,947 |
| 76942 Ultrasound - Nonspecific | Facility | 18 | 18 | $22.93 | $413 |
By year: 2022 $48K for 597 services; 2023 $45K for 571 services; 2024 $46K for 773 services.
Medicare prescription drug claims, 2024
In 2024, the drug Richard N Formica prescribed most often to Medicare patients was Prednisone, with 534 prescriptions and refills. In total Richard N Formica wrote 3,496 Medicare prescriptions that cost $431K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Prednisone Generic | 534 | 874 | 124 | $2,445 |
| Amlodipine Besylate Generic | 243 | 469 | 69 | $1,453 |
| Famotidine Generic | 236 | 350 | 52 | $1,871 |
| Carvedilol Generic | 209 | 350 | 51 | $1,961 |
| Cinacalcet Hcl Generic | 144 | 217 | 32 | $27K |
| Atorvastatin Calcium Generic | 135 | 331 | 43 | $1,149 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 113 | 142 | 30 | $1,113 |
| Tamsulosin Hcl Generic | 109 | 253 | 32 | $1,776 |
| Losartan Potassium Generic | 107 | 211 | 33 | $750 |
| Furosemide Generic | 85 | 122 | 27 | $454 |
| Valganciclovir Hcl Generic | 81 | 84 | 38 | $10K |
| Pantoprazole Sodium Generic | 80 | 149 | 20 | $648 |
| Atovaquone Generic | 78 | 78 | 17 | $31K |
| Tacrolimus Generic | 61 | 98 | 16 | $7,632 |
| Mycophenolate Mofetil Generic | 59 | 116 | 15 | $5,346 |
Brand drugs: 321 claims; generic drugs: 3,110 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Richard N Formica $30K ($30K in general payments such as food, travel and fees) from 4 companies. The largest payer was Alexion Pharmaceuticals, Inc. with $20K.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.