PROVIDER PROFILE · NPI 1093790537

Pradeep KumarM.D.

GastroenterologyAustin, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

576

Unique beneficiaries

—

Total services

616

Distinct HCPCS

Medicare payment

$68K

Peer benchmark

Total Medicare services vs. 1,103 Gastroenterology providers in TX — above median (cohort median 699).

PRESCRIBING · PART D · 2024

Total Rx claims

919

Beneficiaries

—

Total drug cost

$793K

Distinct drugs

Brand share

36.0%

Top prescribed drugs

Omeprazole243 claims

Dicyclomine Hcl95 claims

Nortriptyline Hcl72 claims

Pantoprazole Sodium67 claims

Linaclotide65 claims

QUALITY · MIPS · 2024

Final MIPS score

80.0

Quality

57.9

Cost

78.8

Improvement activities

40.0

Promoting interop.

96.0

Payment adjustment

0.21%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$17K

Payment records

109

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$12K

Food and Beverage$3K

Travel and Lodging$2K

Education$18

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450713

Hospital

REFERRAL NETWORK

Where Pradeep 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). 11 inbound referrers · 21 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
AUSTIN ENDOSCOPY CENTER II, LP	173	206
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	139	331
Ara/St. David's Imaging, Lp Independent Diagnostic Testing Facility (IDTF) · Austin, TX	39	90
Fletcher Srygley Gastroenterology · Austin, TX	30	215
Ara/St. David's Imaging, Lp Independent Diagnostic Testing Facility (IDTF) · Austin, TX	27	58
Jody Hooten Diagnostic Radiology · Austin, TX	26	88
Vinh Nguyen Cardiology · Austin, TX	19	75
John Williamson Diagnostic Radiology · Austin, TX	18	46
MARTIN, MICHAEL	17	37
Daniel Emmett Gastroenterology · Austin, TX	14	59
City Of Austin Ambulance Service Provider · Austin, TX	11	16

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	131	321
AUSTIN GASTROENTEROLOGY PA	104	143
Margaret Listrom Pathology · Austin, TX	69	91
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP	60	136
Rebecca Briggs Certified Registered Nurse Anesthetist (CRNA) · Round Rock, TX	51	67
AUSTIN ENDOSCOPY CENTER II, LP	43	44
Marcia Butler Certified Registered Nurse Anesthetist (CRNA) · Palm Beach Gardens, FL	40	49
Ara/St. David's Imaging, Lp Independent Diagnostic Testing Facility (IDTF) · Austin, TX	38	83
YURCO, STEPHEN	37	50
Fletcher Srygley Gastroenterology · Austin, TX	27	156
NESOM, CLINT	25	33
Jody Hooten Diagnostic Radiology · Austin, TX	23	60

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