What is Apurva Pancholy's specialty?

Apurva Pancholy (NPI 1013085174) is a Medicare-billing provider whose primary specialty is Obstetrics & Gynecology in Houston, TX.

Where does Apurva Pancholy practice?

Apurva Pancholy practices in Houston, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1013085174.

How much does Medicare pay Apurva Pancholy?

Apurva Pancholy (NPI 1013085174) received approximately $73K in total Medicare Part B payments, serving 207 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1013085174

Apurva PancholyMD

Obstetrics & GynecologyHouston, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

632

Unique beneficiaries

—

Total services

788

Distinct HCPCS

Medicare payment

$49K

Peer benchmark

Total Medicare services vs. 1,532 Obstetrics & Gynecology providers in TX — top quintile (cohort median 92).

PRESCRIBING · PART D · 2024

Total Rx claims

1,416

Beneficiaries

—

Total drug cost

$553K

Distinct drugs

Brand share

71.9%

Top prescribed drugs

Vibegron467 claims

Estradiol218 claims

Mirabegron186 claims

Estrogens, Conjugated174 claims

Nitrofurantoin Monohyd/M-Cryst82 claims

QUALITY · MIPS · 2024

Final MIPS score

84.1

Quality

69.2

Cost

73.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.38%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$3K

Payment records

By payment type

Education$2K

Food and Beverage$1K

Top paying entities

Education$2K

Food and Beverage$1K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 450068

Hospital

CCN 450610

Hospital

CCN 450848

Hospital

REFERRAL NETWORK

Where Apurva Pancholy'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). 1 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	16	61

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MEMORIAL HERMANN HEALTH SYSTEM	73	255
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	21	80
MEMORIAL HERMANN HEALTH SYSTEM	15	120
MEMORIAL HERMANN HEALTH SYSTEM	13	85

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