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PROVIDER PROFILE · NPI 1073657474

Rumya RaoMD

OphthalmologyNiles, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
99.4
Quality
97.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.03%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
100
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
6
Brand share
18.0%
Top prescribed drugs
Ketorolac Tromethamine19 claims
Prednisolone Acetate19 claims
Bromfenac Sodium18 claims
Dorzolamide Hcl/Timolol Maleat18 claims
Dorzolamide Hcl14 claims
REFERRAL NETWORK

Where Rumya 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 · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTEGRA CLINICAL LABORATORIES, LLC32173
ADVOCATE HEALTH AND HOSPITALS CORPORATION32120
ENDEAVOR HEALTH CLINICAL OPERATIONS32122
Craig Gerstein
Ophthalmology · Chicago, IL
1754
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHERN ILLINOIS MEDICAL CENTER47156
John Michael
Ophthalmology · Crystal Lake, IL
38127
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
38105
ENDEAVOR HEALTH CLINICAL OPERATIONS34161
A2cl Services, Llc
Clinical Laboratory · West Allis, WI
30148
CENTEGRA CLINICAL LABORATORIES, LLC28142
ADVOCATE HEALTH AND HOSPITALS CORPORATION27113
SWEDISH COVENANT HEALTH2284
MEMORIAL MEDICAL CENTER2046
Matthew Wessel
Ophthalmology · Niles, IL
1534
Craig Gerstein
Ophthalmology · Chicago, IL
1351
ADVOCATE HEALTH AND HOSPITALS CORPORATION1127
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
3,018
Unique beneficiaries
—
Total services
29,933
Distinct HCPCS
12
Medicare payment
$1.7M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 667 Ophthalmology providers in IL — top quintile (cohort median 2,192).