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PROVIDER PROFILE · NPI 1205088507

Sumit SitoleM.D.

PRACTICEMADISON STREET ANESTHESIA LLCSee all providers at this practice →
OphthalmologyDenver, COI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Sumit Sitole'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). 6 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 13967811343178
CHO, KIOK2230
Stephanie May
Certified Registered Nurse Anesthetist (CRNA) · Denver, CO
1924
Madison Street Surgery Center, Llc
Ambulatory Surgical Center · Denver, CO
1729
Howard Amiel
Ophthalmology · Denver, CO
1118
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY1124
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Madison Street Surgery Center, Llc
Ambulatory Surgical Center · Denver, CO
70140
Colorado Pathology Consultants Pc
Clinical Laboratory · Denver, CO
35100
NPI 13967811342761
Laboratory Corporation Of America
Clinical Laboratory · Englewood, CO
2342
HENDRYX, DONALD1930
Vinh Nguyen
Certified Registered Nurse Anesthetist (CRNA) · Aurora, CO
1928
GARCIA, JACQUELINE1422
CHO, KIOK1414
NEFF, KRISTINA1317
PORTERCARE ADVENTIST HEALTH SYSTEM1327
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY1339
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION1225
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
551
Unique beneficiaries
—
Total services
579
Distinct HCPCS
7
Medicare payment
$79K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 288 Ophthalmology providers in CO — below median (cohort median 1,772).
PRESCRIBING · PART D · 2024
Total Rx claims
588
Beneficiaries
—
Total drug cost
$18K
Distinct drugs
6
Brand share
71.4%
Top prescribed drugs
Neomycin/Polymyxin B/Dexametha318 claims
Tobramycin/Dexamethasone83 claims
Prednisone73 claims
Azithromycin67 claims
Loteprednol Etabonate19 claims
QUALITY · MIPS · 2024
Final MIPS score
82.5
Quality
65.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.32%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$24
Payment records
1
By payment type
Food and Beverage$24