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PROVIDER PROFILE · NPI 1043274152

Ketan KapadiaM.D.

PRACTICEPINELLAS UROLOGY, INC.See all providers at this practice →
UrologySt Petersburg, FLI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 100126
Hospital
CCN 100127
Hospital
CCN 100180
Hospital
CCN 100238
Hospital
REFERRAL NETWORK

Where Ketan Kapadia'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). 35 inbound referrers · 85 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WEST FLORIDA - PPH, LLC171573
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
99259
NPI 133612601067169
International Medical Laboratory Inc
Clinical Laboratory · Sarasota, FL
51185
ST. ANTHONYS HOSPITAL, INC.41105
James Post
Cardiology · South Pasadena, FL
41131
OHI WEST, INC31109
NPI 12250906572767
MORTON PLANT HOSPITAL ASSOCIATION INC2682
David Hall
Ophthalmology · St Petersburg, FL
2445
BABAT, CHESTER2237
GALENCARE, INC.2142
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
2601,043
WEST FLORIDA - PPH, LLC170554
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
133398
John Williams
Pathology · Gulfport, FL
129273
NPI 133612601081236
County Of Pinellas Board Of County Commissioners
Ambulance Service Provider · Largo, FL
60155
Tampa Bay Imaging Llc
Independent Diagnostic Testing Facility (IDTF) · Pinellas Park, FL
5382
James Post
Cardiology · South Pasadena, FL
47128
Mohamed Ali Eltoum
Pulmonary Disease · Saint Petersburg, FL
41175
ST. ANTHONYS HOSPITAL, INC.4089
International Medical Laboratory Inc
Clinical Laboratory · Sarasota, FL
38170
ST. JOSEPH'S HOSPITAL, INC.3566
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
4,129
Unique beneficiaries
—
Total services
88,571
Distinct HCPCS
33
Medicare payment
$471K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 721 Urology providers in FL — top quintile (cohort median 2,281).
PRESCRIBING · PART D · 2024
Total Rx claims
3,921
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
47
Brand share
25.0%
Top prescribed drugs
Tamsulosin Hcl799 claims
Finasteride588 claims
Doxycycline Monohydrate222 claims
Dutasteride211 claims
Cephalexin202 claims
QUALITY · MIPS · 2024
Final MIPS score
94.1
Quality
15.9
Cost
80.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
96
By payment type
Food and Beverage$2K
Education$90