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PROVIDER PROFILE · NPI 1104057165

Roshan KarkiMD

CardiologyRochester, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 330073
Hospital
CCN 330125
Hospital
CCN 330226
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
355
Beneficiaries
—
Total drug cost
$114K
Distinct drugs
9
Brand share
31.0%
Top prescribed drugs
Metoprolol Succinate123 claims
Apixaban85 claims
Amiodarone Hcl44 claims
Diltiazem Hcl25 claims
Spironolactone17 claims
QUALITY · MIPS · 2024
Final MIPS score
96.6
Quality
74.5
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.91%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
12
By payment type
Travel and Lodging$596
Food and Beverage$555
Top paying entities
Travel and Lodging$596
Food and Beverage$555
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
201
Unique beneficiaries
—
Total services
272
Distinct HCPCS
8
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,949 Cardiology providers in NY — bottom quintile (cohort median 2,081).
REFERRAL NETWORK

Where Roshan Karki'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). 24 inbound referrers · 67 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ROCHESTER GENERAL HOSPITAL160716
Edward Zinkin
Diagnostic Radiology · Rochester, NY
46186
National Ambulance & Oxygen Service, Inc.
Ambulance Service Provider · Rochester, NY
36219
Seth Jacobson
Cardiology · Rochester, NY
2584
UNIVERSITY OF ROCHESTER24147
NPI 14676871452270
Vijay Krishnamoorthy
Cardiology · Rochester, NY
2260
Meghan Single
Diagnostic Radiology · Rochester, NY
2173
Bryan Scott
Diagnostic Radiology · Rochester, NY
2177
Thomas Curran
Cardiology · Rochester, NY
1939
ACM MEDICAL LABORATORY INC19119
Jonathan Broder
Diagnostic Radiology · Rochester, NY
1856
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ROCHESTER GENERAL HOSPITAL2711,001
National Ambulance & Oxygen Service, Inc.
Ambulance Service Provider · Rochester, NY
57157
NPI 146768714542125
R. Hicks
Diagnostic Radiology · Rochester, NY
4074
Edward Zinkin
Diagnostic Radiology · Rochester, NY
40124
Roy Wiener
Cardiology · Rochester, NY
3469
Martine Backenstoss
Diagnostic Radiology · Rochester, NY
3386
Meghan Single
Diagnostic Radiology · Rochester, NY
3368
Krishna Rao
Cardiology · Rochester, NY
3150
Thomas Curran
Cardiology · Rochester, NY
3161
UNIVERSITY OF ROCHESTER30144
GENESEE REGION HOME CARE ASSOCIATION INC.3070
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.