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PROVIDER PROFILE · NPI 1174710578

Prithipal SethiM.D.

UrologySacramento, CAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 050516
Hospital
CCN 050590
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,003
Beneficiaries
—
Total drug cost
$457K
Distinct drugs
16
Brand share
32.3%
Top prescribed drugs
Cephalexin259 claims
Tamsulosin Hcl143 claims
Ciprofloxacin Hcl118 claims
Sulfamethoxazole/Trimethoprim91 claims
Nitrofurantoin Monohyd/M-Cryst79 claims
QUALITY · MIPS · 2024
Final MIPS score
96.2
Quality
99.9
Cost
86.5
Improvement activities
40.0
Promoting interop.
81.0
Payment adjustment
0.89%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$21K
Payment records
42
By payment type
Debt forgiveness$19K
Food and Beverage$2K
REFERRAL NETWORK

Where Prithipal Sethi'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). 28 inbound referrers · 69 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
American Medical Response West
Ambulance Service Provider · Stockton, CA
53148
DIGNITY COMMUNITY CARE3370
LODI MEMORIAL HOSPITAL ASSOCIATION INC31110
CALLCOTT, FRANK2782
NPI 14876628882254
Taymour Malak
Family Practice · Stockton, CA
2178
Poonam Duggal
Family Practice · Stockton, CA
2168
Randeep Bajwa
Nephrology · Stockton, CA
2094
SUTTER GOULD MEDICAL FOUNDATION19107
David Soto
Interventional Radiology · Hayward, CA
1737
Edmund Yao
Internal Medicine · Stockton, CA
1789
Surrender Raina
Cardiology · Stockton, CA
1651
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · Sacramento, CA
3411,273
PORT CITY OPERATING COMPANY, LLC181658
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
137432
Anil Khosla
Diagnostic Radiology · Stockton, CA
63155
Thomas Sorbera
Urology · Statesboro, GA
63163
American Medical Response West
Ambulance Service Provider · Stockton, CA
55116
Kiumars Hekmat
Urology · Sacramento, CA
48122
DIGNITY COMMUNITY CARE43129
CALLCOTT, FRANK3577
LODI MEMORIAL HOSPITAL ASSOCIATION INC33105
Kiran Jain
Diagnostic Radiology · Davis, CA
3262
St. Joseph's Surgery Center Lp
Ambulatory Surgical Center · Stockton, CA
2987
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
4,206
Unique beneficiaries
—
Total services
147,913
Distinct HCPCS
35
Medicare payment
$1.3M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 942 Urology providers in CA — top quintile (cohort median 1,637).