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PROVIDER PROFILE · NPI 1174796999

Nilay KavathiaM.D

GastroenterologyMesa, AZI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
81.8
Quality
60.5
Cost
81.2
Improvement activities
40.0
Promoting interop.
97.0
Payment adjustment
0.28%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 030065
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
2,115
Beneficiaries
—
Total drug cost
$451K
Distinct drugs
26
Brand share
32.9%
Top prescribed drugs
Pantoprazole Sodium642 claims
Sodium, Potassium,mag Sulfates310 claims
Dicyclomine Hcl147 claims
Omeprazole141 claims
Linaclotide97 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
977
Unique beneficiaries
—
Total services
12,114
Distinct HCPCS
15
Medicare payment
$323K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 280 Gastroenterology providers in AZ — top quintile (cohort median 659).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
132
By payment type
Food and Beverage$2K
Education$25
REFERRAL NETWORK

Where Nilay Kavathia'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 · 37 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 13169924073262
Andrew Weinberg
Gastroenterology · Gilbert, AZ
2551
Naved Khan
Internal Medicine · Mesa, AZ
1780
Arvind Durvasan
Nephrology · Mesa, AZ
1742
Robert Hanna
Interventional Radiology · Mesa, AZ
1734
Rohit Mahajani
Gastroenterology · Gilbert, AZ
1726
R M Arizona Holdings Inc
Ambulance Service Provider · Mesa, AZ
1519
Ashwin Ramadhar
Internal Medicine · Mesa, AZ
1546
Romen Jha
Internal Medicine · Tempe, AZ
1431
James Lyons
Diagnostic Radiology · Mesa, AZ
1325
Chad Hammad
Internal Medicine · Mesa, AZ
1228
BANNER BAYWOOD MEDICAL CENTER1116
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BANNER DESERT MEDICAL CENTER115236
Sonora Quest Laboratories Llc
Clinical Laboratory · Phoenix, AZ
92246
Mesa Az Endoscopy Asc Llc
Ambulatory Surgical Center · Mesa, AZ
66128
Laboratory Corporation Of America
Clinical Laboratory · Phoenix, AZ
2851
Molly Solorzano
Anesthesiology · Phoenix, AZ
2751
Stephanie Wang
Diagnostic Radiology · Highlands Ranch, CO
2543
Tamara Haas
Certified Registered Nurse Anesthetist (CRNA) · Goodyear, AZ
2443
NPI 13169924072333
Jeffrey Henderson
Pathology · Phoenix, AZ
2340
FLEMING, MARIAN1938
William Jacoby
Diagnostic Radiology · Mesa, AZ
1728
Hardeep Grewal
Internal Medicine · Phoenix, AZ
1733
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.