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PROVIDER PROFILE · NPI 1134229826

Raj SinhaM.D.

Plastic and Reconstructive SurgerySpringfield, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 140053
Hospital
CCN 140148
Hospital
CCN 141339
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
73
Beneficiaries
—
Total drug cost
$643
Distinct drugs
3
Brand share
17.8%
Top prescribed drugs
Clindamycin Hcl37 claims
Cephalexin23 claims
Amoxicillin/Potassium Clav13 claims
QUALITY · MIPS · 2024
Final MIPS score
91.0
Quality
72.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.68%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$447
Payment records
3
By payment type
Food and Beverage$447
Top paying entities
Food and Beverage$447
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
575
Unique beneficiaries
—
Total services
648
Distinct HCPCS
14
Medicare payment
$90K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 156 Plastic and Reconstructive Surgery providers in IL — top quintile (cohort median 221).
REFERRAL NETWORK

Where Raj Sinha'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). 13 inbound referrers · 28 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
115342
MEMORIAL MEDICAL CENTER69156
TAYLORVILLE MEMORIAL HOSPITAL4091
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION3075
ABRAHAM LINCOLN MEMORIAL HOSPITAL2659
John Nester
Internal Medicine · Springfield, IL
2136
Pavinderpal Gill
Internal Medicine · Taylorville, IL
1755
ROOKE, THOMAS1531
ZWILLING, THOMAS1337
Jason Barnes
Pathology · Charleston, SC
1325
Saurabh Jha
Cardiology · Springfield, IL
1224
Judith Aydt
Certified Registered Nurse Anesthetist (CRNA) · Springfield, IL
1220
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Ameripath Cincinnati Inc
Clinical Laboratory · Cincinnati, OH
119144
MEMORIAL MEDICAL CENTER116320
Springfield Clinic, Llp
Clinical Laboratory · Springfield, IL
103264
Springfield Clinic Llp
Ambulatory Surgical Center · Springfield, IL
54161
SPRINGFIELD CLINIC, LLP48110
TAYLORVILLE MEMORIAL HOSPITAL44165
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION41155
SPRINGFIELD CLINIC, LLP3273
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F3080
ABRAHAM LINCOLN MEMORIAL HOSPITAL2768
MEMORIAL PHYSICIAN SERVICES2449
John Nester
Internal Medicine · Springfield, IL
2239
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.