What is Prashanth Palwai's specialty?

Prashanth Palwai (NPI 1225071855) is a Medicare-billing provider whose primary specialty is Rheumatology in Kingwood, TX.

Where does Prashanth Palwai practice?

Prashanth Palwai practices in Kingwood, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1225071855.

How much does Medicare pay Prashanth Palwai?

Prashanth Palwai (NPI 1225071855) received approximately $1.1M in total Medicare Part B payments, serving 294 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1225071855

Prashanth PalwaiMD

PRACTICEPRASHANTH R PALWAI, MD PASee all providers at this practice →

RheumatologyKingwood, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

670

Unique beneficiaries

—

Total services

112,888

Distinct HCPCS

Medicare payment

$981K

Peer benchmark

Total Medicare services vs. 382 Rheumatology providers in TX — top quintile (cohort median 13,742).

PRESCRIBING · PART D · 2024

Total Rx claims

630

Beneficiaries

—

Total drug cost

$520K

Distinct drugs

Brand share

28.9%

Top prescribed drugs

Hydroxychloroquine Sulfate182 claims

Methotrexate Sodium103 claims

Leflunomide63 claims

Gabapentin57 claims

Methylprednisolone43 claims

QUALITY · MIPS · 2024

Final MIPS score

71.3

Quality

62.5

Cost

52.4

Improvement activities

40.0

Promoting interop.

73.0

Payment adjustment

-0.45%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$145

Payment records

By payment type

Food and Beverage$145

Top paying entities

Food and Beverage$145

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 450684

Hospital

CCN 450775

Hospital

REFERRAL NETWORK

Where Prashanth Palwai'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). 5 inbound referrers · 10 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	88	246
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	40	99
MEMORIAL HERMANN HEALTH SYSTEM	27	58
Christopher Bathurst Diagnostic Radiology · College Station, TX	18	27
Ramesh Kesavan Pulmonary Disease · Kingwood, TX	11	38

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	107	335
KPH-CONSOLIDATION, INC.	42	108
Laboratory Corporation Of America Clinical Laboratory · Houston, TX	33	64
MEMORIAL HERMANN HEALTH SYSTEM	23	66
MEMORIAL HERMANN HEALTH SYSTEM	19	44
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	18	34
Marcy Lim Cardiology · Humble, TX	13	21
Srinivas Panja Endocrinology · Kingwood, TX	12	29
Gnananandh Jayaraman Pulmonary Disease · Kingwood, TX	11	35
Ramesh Kesavan Pulmonary Disease · Kingwood, TX	11	52

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events