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PROVIDER PROFILE · NPI 1205957396

Kalpesh VakhariaMD

OtolaryngologyBoston, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 210002
Hospital
CCN 210038
Hospital
REFERRAL NETWORK

Where Kalpesh Vakharia'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). 3 inbound referrers · 3 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC64716
Charles White
Diagnostic Radiology · Baltimore, MD
1570
Zaineb Makhzoumi
Dermatology · Baltimore, MD
1165
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC40428
Charles White
Diagnostic Radiology · Baltimore, MD
1167
Robert Morales
Diagnostic Radiology · New Orleans, LA
1122
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
66
Unique beneficiaries
—
Total services
94
Distinct HCPCS
3
Medicare payment
$9K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 250 Otolaryngology providers in MA — top quintile (cohort median 909).
PRESCRIBING · PART D · 2024
Total Rx claims
18
Beneficiaries
—
Total drug cost
$161
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Mupirocin18 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
0.0
Cost
79.0
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$304
Payment records
3
By payment type
Food and Beverage$304