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PROVIDER PROFILE · NPI 1134278427

Sushil KumarMD

PRACTICEKENTUCKY OPTICAL COMPANY LLCSee all providers at this practice →
OphthalmologyLouisville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Sushil 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). 9 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.109206
Rishi Kumar
Ophthalmology · Louisville, KY
48134
Sarita Nair
Internal Medicine · Louisville, KY
2055
Lal Tanwani
Endocrinology · Louisville, KY
1733
Anil Sharma
Internal Medicine · Louisville, KY
1531
George Scott
Neurology · Louisville, KY
1427
Patricia Hansen
Internal Medicine · Louisville, KY
1316
Arun Ummat
Interventional Cardiology · Louisville, KY
1221
Sydney Dowell
Nurse Practitioner · Louisville, KY
1118
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.114215
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
82148
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
63122
Rishi Kumar
Ophthalmology · Louisville, KY
3992
NORTON HOSPITALS, INC2967
Sarita Nair
Internal Medicine · Louisville, KY
2051
Suresh Nair
Internal Medicine · Louisville, KY
1864
Arun Ummat
Interventional Cardiology · Louisville, KY
1627
Lal Tanwani
Endocrinology · Louisville, KY
1530
Arc Kentucky Llc
Ambulatory Surgical Center · Louisville, KY
1422
Sunny Joseph
Cardiology · Louisville, KY
1425
Preeti Attavar
Cardiology · Louisville, KY
1323
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.
PRESCRIBING · PART D · 2024
Total Rx claims
28
Beneficiaries
—
Total drug cost
$823
Distinct drugs
2
Brand share
100.0%
Top prescribed drugs
Moxifloxacin Hcl17 claims
Erythromycin Base11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
55
Unique beneficiaries
—
Total services
66
Distinct HCPCS
3
Medicare payment
$5K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 186 Ophthalmology providers in KY — bottom quintile (cohort median 1,932).
QUALITY · MIPS · 2024
Final MIPS score
83.8
Quality
99.8
Cost
46.1
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.37%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$370
Payment records
6
By payment type
Food and Beverage$370
Top paying entities
Food and Beverage$370