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PROVIDER PROFILE · NPI 1164625257

Rishi AgarwalM.D.

GastroenterologyBirmingham, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
76.9
Quality
56.2
Cost
78.6
Improvement activities
40.0
Promoting interop.
86.0
Payment adjustment
0.08%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
791
Unique beneficiaries
—
Total services
2,868
Distinct HCPCS
15
Medicare payment
$130K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 163 Gastroenterology providers in AL — top quintile (cohort median 808).
PRESCRIBING · PART D · 2024
Total Rx claims
2,372
Beneficiaries
—
Total drug cost
$981K
Distinct drugs
25
Brand share
17.1%
Top prescribed drugs
Pantoprazole Sodium882 claims
Sucralfate547 claims
Dicyclomine Hcl155 claims
Esomeprazole Magnesium111 claims
Peg3350/Sod Sul/Nacl/Kcl/Asb/C80 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
87
By payment type
Food and Beverage$2K
Education$100
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 010103
Hospital
CCN 010104
Hospital
CCN 010139
Hospital
CCN 010164
Hospital
REFERRAL NETWORK

Where Rishi Agarwal'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). 31 inbound referrers · 63 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PRINCETON BAPTIST MEDICAL CENTER166386
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
83169
AFFINITY HOSPITAL LLC4995
Phillip Triantos
Diagnostic Radiology · Mountain Brk, AL
47119
Ricardo Bracer
Diagnostic Radiology · Birmingham, AL
47109
Sandra Martin
Diagnostic Radiology · Sylacauga, AL
38118
Bryan Billions
Diagnostic Radiology · Birmingham, AL
3289
Peter Miller
Gastroenterology · Montgomery, AL
3142
Regional Paramedical Services Inc
Ambulance Service Provider · Jasper, AL
2966
SOLSTAS LAB PARTNERS GROUP LLC2886
UNIVERSITY OF ALABAMA AT BIRMINGHAM2453
Gerald Karcher
Diagnostic Radiology · Birmingham, AL
2466
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
121296
SYLACAUGA HEALTH CARE AUTHORITY INC99423
PRINCETON BAPTIST MEDICAL CENTER67167
Allen Groves
Diagnostic Radiology · Birmingham, AL
52141
Charles Dasher
Internal Medicine · Homewood, AL
4992
Birmingham Surgery Center, Llc
Ambulatory Surgical Center · Birmingham, AL
48102
Kay Hare
Certified Registered Nurse Anesthetist (CRNA) · Sylacauga, AL
45116
AFFINITY HOSPITAL LLC4178
Wilkes Petrey
Diagnostic Radiology · Hoover, AL
3993
Peter Miller
Gastroenterology · Montgomery, AL
3867
Wilton Holman
Diagnostic Radiology · Birmingham, AL
3684
PRIMEPATH, P.C.3572
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.