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PROVIDER PROFILE · NPI 1215043682

Jay RajaMD

GastroenterologyEnglewood, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
436
Unique beneficiaries
—
Total services
527
Distinct HCPCS
11
Medicare payment
$51K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,135 Gastroenterology providers in FL — below median (cohort median 817).
REFERRAL NETWORK

Where Jay Raja'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). 30 inbound referrers · 56 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Premala Raja
Cardiology · Englewood, FL
70387
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
64111
Sergio Selva
Diagnostic Radiology · Venice, FL
48161
Phillip Mihm
Diagnostic Radiology · Venice, FL
43151
BAGA, MELECITO42112
VIHLEN, ERIC38148
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
3184
William Roth
Pathology · Venice, FL
2866
Michelle Scott
Hospitalist · Riverside, IL
28162
Anuradha Satyavolu
Hospitalist · Chantilly, VA
25175
International Medical Laboratory Inc
Clinical Laboratory · Sarasota, FL
2195
Gary Wright
Diagnostic Radiology · Venice, FL
1849
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Gulf Coast Endoscopy Center Of Venice Llc
Ambulatory Surgical Center · Venice, FL
144376
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
135335
VENICE HMA LLC123468
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
72229
Premala Raja
Cardiology · Englewood, FL
71261
BAGA, MELECITO51135
Charles Davenport
Diagnostic Radiology · Venice, FL
50109
VANAAREM, SASKIA4392
Eugenio Erquiaga
Diagnostic Radiology · Tulsa, OK
43105
Sergio Selva
Diagnostic Radiology · Venice, FL
4094
Craig Reiheld
Diagnostic Radiology · Fort Myers, FL
36115
OHA, CHRISTINE3580
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.
PRESCRIBING · PART D · 2024
Total Rx claims
556
Beneficiaries
—
Total drug cost
$20K
Distinct drugs
15
Brand share
4.1%
Top prescribed drugs
Omeprazole157 claims
Pantoprazole Sodium155 claims
Famotidine40 claims
Sucralfate30 claims
Dicyclomine Hcl28 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$114
Payment records
3
By payment type
Food and Beverage$114
QUALITY · MIPS · 2024
Final MIPS score
88.8
Quality
77.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.58%
APM Entity