What is Rumya Rao's specialty?

Rumya Rao (NPI 1073657474) is a Medicare-billing provider whose primary specialty is Ophthalmology in Niles, IL.

Where does Rumya Rao practice?

Rumya Rao practices in Niles, IL, based on the location reported in the CMS Medicare provider datasets for NPI 1073657474.

How much does Medicare pay Rumya Rao?

Rumya Rao (NPI 1073657474) received approximately $1.7M in total Medicare Part B payments, serving 781 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1073657474

Rumya RaoMD

OphthalmologyNiles, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,018

Unique beneficiaries

—

Total services

29,933

Distinct HCPCS

Medicare payment

$1.7M

Peer benchmark

Total Medicare services vs. 667 Ophthalmology providers in IL — top quintile (cohort median 2,192).

PRESCRIBING · PART D · 2024

Total Rx claims

100

Beneficiaries

—

Total drug cost

$3K

Distinct drugs

Brand share

18.0%

Top prescribed drugs

Ketorolac Tromethamine19 claims

Prednisolone Acetate19 claims

Bromfenac Sodium18 claims

Dorzolamide Hcl/Timolol Maleat18 claims

Dorzolamide Hcl14 claims

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

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

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

Physician	Patients	Visits
CENTEGRA CLINICAL LABORATORIES, LLC	32	173
ADVOCATE HEALTH AND HOSPITALS CORPORATION	32	120
ENDEAVOR HEALTH CLINICAL OPERATIONS	32	122
Craig Gerstein Ophthalmology · Chicago, IL	17	54

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NORTHERN ILLINOIS MEDICAL CENTER	47	156
John Michael Ophthalmology · Crystal Lake, IL	38	127
Quest Diagnostics Llc Il Clinical Laboratory · Wood Dale, IL	38	105
ENDEAVOR HEALTH CLINICAL OPERATIONS	34	161
A2cl Services, Llc Clinical Laboratory · West Allis, WI	30	148
CENTEGRA CLINICAL LABORATORIES, LLC	28	142
ADVOCATE HEALTH AND HOSPITALS CORPORATION	27	113
SWEDISH COVENANT HEALTH	22	84
MEMORIAL MEDICAL CENTER	20	46
Matthew Wessel Ophthalmology · Niles, IL	15	34
Craig Gerstein Ophthalmology · Chicago, IL	13	51
ADVOCATE HEALTH AND HOSPITALS CORPORATION	11	27

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