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PROVIDER PROFILE · NPI 1063491066

Birendra KumarMD

Hematology-OncologyMankato, MNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
88.6
Quality
75.4
Cost
75.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.57%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 240078
Hospital
CCN 240080
Hospital
CCN 240207
Hospital
CCN 240210
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,483
Beneficiaries
—
Total drug cost
$5.6M
Distinct drugs
47
Brand share
36.5%
Top prescribed drugs
Dexamethasone94 claims
Prochlorperazine Maleate84 claims
Gabapentin77 claims
Oxycodone Hcl74 claims
Acyclovir71 claims
REFERRAL NETWORK

Where Birendra Kumar'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). 7 inbound referrers · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FAIRVIEW HEALTH SERVICES1156,638
RIDGEVIEW MEDICAL CENTER41216
SIBLEY MEDICAL CENTER22109
John Colford
Diagnostic Radiology · Grand Rapids, MI
2197
Ehtaisham Mohammed
Family Practice · Arlington, MN
21103
BENDER, GAIL15504
Bryan Petersen
Family Practice · Glencoe, MN
1258
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FAIRVIEW HEALTH SERVICES965,054
FAIRVIEW HEALTH SERVICES795,625
GLENCOE REGIONAL HEALTH SERVICES632,469
SIBLEY MEDICAL CENTER57837
RIDGEVIEW MEDICAL CENTER54263
SIBLEY MEDICAL CENTER2391
RAZA, AHMAD20810
Ehtaisham Mohammed
Family Practice · Arlington, MN
20108
John Colford
Diagnostic Radiology · Grand Rapids, MI
17102
SIBLEY MEDICAL CENTER1432
LUKENS, JEFFREY1367
LOES, DANIEL1244
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
616
Unique beneficiaries
—
Total services
957
Distinct HCPCS
13
Medicare payment
$70K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 189 Hematology-Oncology providers in MN — above median (cohort median 389).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
3
By payment type
Honoraria$1K
Education$22