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PROVIDER PROFILE · NPI 1134428980

Kumar RaiMD

General SurgeryBeckley, WVI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 517076
Home health agency
CCN 510002
Hospital
CCN 510022
Hospital
CCN 510062
Hospital
CCN 510070
Hospital
QUALITY · MIPS · 2024
Final MIPS score
82.1
Quality
47.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.30%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
87
Beneficiaries
—
Total drug cost
$600
Distinct drugs
3
Brand share
79.3%
Top prescribed drugs
Clopidogrel Bisulfate54 claims
Cephalexin18 claims
Acetaminophen With Codeine15 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
608
Unique beneficiaries
—
Total services
709
Distinct HCPCS
15
Medicare payment
$45K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 146 General Surgery providers in WV — top quintile (cohort median 278).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$40
Payment records
1
By payment type
Food and Beverage$40
REFERRAL NETWORK

Where Kumar Rai'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). 32 inbound referrers · 85 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Bharat Patel
Diagnostic Radiology · Beckley, WV
131461
PATEL, MANU84265
Jan-Care Ambulance Of Raleigh County Inc
Ambulance Service Provider · Beckley, WV
61337
Sayed Kazi
Nephrology · York, PA
3599
Wadih Kabbara
Internal Medicine · Beckley, WV
34198
Alan Lintala
Diagnostic Radiology · Beckley, WV
3064
General Emergency Medical Services Inc
Ambulance Service Provider · Beckley, WV
27191
Anthony Mcfarlane
Cardiology · Fort Myers, FL
2752
Eric Gomez-Urena
Infectious Disease · Mankato, MN
27194
Paul Ratcliff
Diagnostic Radiology · Port Charlotte, FL
2555
Hirohiko Ito
Diagnostic Radiology · Takahata, ZZ
2357
Fausto Imbing
Pathology · Beckley, WV
2345
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
APPALACHIAN REGIONAL HEALTHCARE, INC272934
Herbert Oye
Vascular Surgery · Beckley, WV
2361,284
Bharat Patel
Diagnostic Radiology · Beckley, WV
173740
RALEIGH GENERAL HOSPITAL LLC121358
Jan-Care Ambulance Of Raleigh County Inc
Ambulance Service Provider · Beckley, WV
83422
PATEL, MANU64271
Nayan Zinzuwadia
Anesthesiology · Beckley, WV
63168
WEST VIRGINIA VASCULAR INSTITUTE PLLC62151
Vinod Parmar
Anesthesiology · Beckley, WV
62144
Ali Suleiman
Nephrology · Beckley, WV
60302
Mustafa Rahim
Internal Medicine · Beckley, WV
53428
Wadih Kabbara
Internal Medicine · Beckley, WV
51265
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.