PROVIDER PROFILE · NPI 1013198696

Vaishal ToliaM.D., M.P.H.

Emergency MedicineSan Diego, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

537

Unique beneficiaries

—

Total services

647

Distinct HCPCS

Medicare payment

$70K

Peer benchmark

Total Medicare services vs. 5,287 Emergency Medicine providers in CA — top quintile (cohort median 355).

PRESCRIBING · PART D · 2024

Total Rx claims

155

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

38.1%

Top prescribed drugs

Cefpodoxime Proxetil38 claims

Sulfamethoxazole/Trimethoprim23 claims

Nitrofurantoin Monohyd/M-Cryst21 claims

Amoxicillin19 claims

Ciprofloxacin Hcl16 claims

QUALITY · MIPS · 2024

Final MIPS score

90.8

Quality

84.1

Cost

73.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.66%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 050025

Hospital

REFERRAL NETWORK

Where Vaishal Tolia'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). 9 inbound referrers · 46 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
REGENTS OF THE UNIVERSITY OF CALIFORNIA	157	702
William Ladd Diagnostic Radiology · San Diego, CA	21	49
RENNER, JOHN	18	44
Sharon Brouha Diagnostic Radiology · San Diego, CA	17	44
Unilab Corporation Clinical Laboratory · West Hills, CA	15	29
GHAHREMANI, GARY	12	27
Albert Hsiao Diagnostic Radiology · San Diego, CA	12	27
SHARP MEMORIAL HOSPITAL	11	21
Edward Smitaman Diagnostic Radiology · San Diego, CA	11	19

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
REGENTS OF THE UNIVERSITY OF CALIFORNIA	304	1,313
David Karow Diagnostic Radiology · Jacksonville, FL	65	124
William Ladd Diagnostic Radiology · San Diego, CA	52	104
RENNER, JOHN	49	95
AMERICAN MEDICAL RESPONSE OF SAN DIEGO, INC.	48	87
Andrew Yen Diagnostic Radiology · San Diego, CA	47	89
Sharon Brouha Diagnostic Radiology · San Diego, CA	39	70
Albert Hsiao Diagnostic Radiology · San Diego, CA	31	69
Julie Marek Bykowski Diagnostic Radiology · San Diego, CA	29	64
NPI 1437161577	29	48
Giovanna Casola Diagnostic Radiology · San Diego, CA	28	51
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC	27	48

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