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PROVIDER PROFILE · NPI 1205069820

Manish GuragainM.D.

PRACTICEPINNACLE HEALTHSee all providers at this practice →
HospitalistHarrisburg, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
118
Beneficiaries
—
Total drug cost
$761
Distinct drugs
8
Brand share
14.4%
Top prescribed drugs
Pantoprazole Sodium22 claims
Atorvastatin Calcium18 claims
Clopidogrel Bisulfate17 claims
Metoprolol Succinate15 claims
Lisinopril13 claims
QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
88.5
Cost
72.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.76%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 390058
Hospital
REFERRAL NETWORK

Where Manish Guragain'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). 50 inbound referrers · 107 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
EINSTEIN MEDICAL CENTER MONTGOMERY392773
Howard Cobert
Cardiology · East Norriton, PA
131221
Stefan Neagu
Internal Medicine · East Norriton, PA
75116
MANDELL, DELAINE6790
Scott Fredd
Cardiology · Blue Bell, PA
5897
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
57136
Joseph Robinson
Emergency Medicine · Philadelphia, PA
4963
Gentry George King
Medical Oncology · Seattle, WA
4781
Paul Vanderbeek
Emergency Medicine · Philadelphia, PA
4564
Lauren Morrell
Emergency Medicine · Philadelphia, PA
4461
SCHWARTZ, GARY4264
Ceylan Cankurtaran
Diagnostic Radiology · Santa Monica, CA
4259
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
EINSTEIN MEDICAL CENTER MONTGOMERY109249
Howard Cobert
Cardiology · East Norriton, PA
108244
Julie Gubernick
Diagnostic Radiology · Philadelphia, PA
83135
Philip Goldstein
Interventional Cardiology · Blue Bell, PA
71154
EINSTEIN MEDICAL CENTER MONTGOMERY5994
Nikki Sistrun
Diagnostic Radiology · East Norriton, PA
5995
MANDELL, DELAINE5891
Chakram Nalini
Cardiology · Blue Bell, PA
4990
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
48135
Edward Buonocore
Internal Medicine · Norristown, PA
4880
Scott Fredd
Cardiology · Blue Bell, PA
4686
CLARION MEDICAL, LLC4571
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
428
Unique beneficiaries
—
Total services
1,307
Distinct HCPCS
4
Medicare payment
$115K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,139 Hospitalist providers in PA — top quintile (cohort median 491).