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PROVIDER PROFILE · Loading…
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PROVIDER PROFILE · NPI 1225071855

Prashanth PalwaiMD

PRACTICEPRASHANTH R PALWAI, MD PASee all providers at this practice →
RheumatologyKingwood, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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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
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
88246
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
4099
MEMORIAL HERMANN HEALTH SYSTEM2758
Christopher Bathurst
Diagnostic Radiology · College Station, TX
1827
Ramesh Kesavan
Pulmonary Disease · Kingwood, TX
1138
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
107335
KPH-CONSOLIDATION, INC.42108
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
3364
MEMORIAL HERMANN HEALTH SYSTEM2366
MEMORIAL HERMANN HEALTH SYSTEM1944
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1834
Marcy Lim
Cardiology · Humble, TX
1321
Srinivas Panja
Endocrinology · Kingwood, TX
1229
Gnananandh Jayaraman
Pulmonary Disease · Kingwood, TX
1135
Ramesh Kesavan
Pulmonary Disease · Kingwood, TX
1152
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$145
Payment records
2
By payment type
Food and Beverage$145
Top paying entities
Food and Beverage$145
PRESCRIBING · PART D · 2024
Total Rx claims
630
Beneficiaries
—
Total drug cost
$520K
Distinct drugs
13
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
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
670
Unique beneficiaries
—
Total services
112,888
Distinct HCPCS
14
Medicare payment
$981K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 382 Rheumatology providers in TX — top quintile (cohort median 13,742).