What is Soumya Rao's specialty?

Soumya Rao (NPI 1033388616) is a Medicare-billing provider whose primary specialty is Rheumatology in Poway, CA.

Where does Soumya Rao practice?

Soumya Rao practices in Poway, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1033388616.

How much does Medicare pay Soumya Rao?

Soumya Rao (NPI 1033388616) received approximately $200K in total Medicare Part B payments, serving 302 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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 · 2025

Total received

$3K

Payment records

191

By payment type

Food and Beverage$3K

Top paying entities

Food and Beverage$3K

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events