PROVIDER PROFILE · NPI 1033388616

Soumya RaoM.D.

RheumatologyPoway, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

587

Unique beneficiaries

—

Total services

6,269

Distinct HCPCS

Medicare payment

$154K

Peer benchmark

Total Medicare services vs. 530 Rheumatology providers in CA — above median (cohort median 1,833).

PRESCRIBING · PART D · 2024

Total Rx claims

1,955

Beneficiaries

—

Total drug cost

$1.7M

Distinct drugs

Brand share

26.2%

Top prescribed drugs

Hydroxychloroquine Sulfate376 claims

Methotrexate Sodium232 claims

Gabapentin121 claims

Ibandronate Sodium113 claims

Prednisone89 claims

QUALITY · MIPS · 2024

Final MIPS score

20.8

Quality

0.0

Cost

69.4

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.50%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$3K

Payment records

179

By payment type

Food and Beverage$3K

Education$75

Top paying entities

Food and Beverage$3K

Education$75

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 050115

Hospital

CCN 050636

Hospital

REFERRAL NETWORK

Where Soumya Rao'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). 4 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	38	81
PALOMAR HEALTH	22	72
PALOMAR HEALTH	14	47
SHARP MEMORIAL HOSPITAL	12	23

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	36	105
PALOMAR HEALTH	34	120
PALOMAR HEALTH	16	47
SHARP CHULA VISTA MEDICAL CENTER	15	34
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	15	33
SHARP MEMORIAL HOSPITAL	12	26
Timothy Lazarek Nurse Practitioner · San Diego, CA	12	22
GROSSMONT HOSPITAL CORPORATION	11	36

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