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PROVIDER PROFILE · NPI 1265417992

Sumanth PrabhuMD

Advanced Heart Failure and Transplant CardiologySaint Louis, MOI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 260032
Hospital
CCN 260162
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
97
Unique beneficiaries
—
Total services
110
Distinct HCPCS
5
Medicare payment
$6K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 27 Advanced Heart Failure and Transplant Cardiology providers in MO — bottom quintile (cohort median 915).
QUALITY · MIPS · 2024
Final MIPS score
84.2
Quality
71.6
Cost
75.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.39%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
784
Beneficiaries
—
Total drug cost
$331K
Distinct drugs
18
Brand share
32.0%
Top prescribed drugs
Spironolactone107 claims
Metoprolol Succinate93 claims
Sacubitril/Valsartan85 claims
Carvedilol77 claims
Furosemide62 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$322
Payment records
2
By payment type
Food and Beverage$322
REFERRAL NETWORK

Where Sumanth Prabhu'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 · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF ALABAMA AT BIRMINGHAM94464
Ferdinand Urthaler
Cardiology · Birmingham, AL
27122
Sushilkumar Sonavane
Diagnostic Radiology · Jacksonville, FL
1564
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Ferdinand Urthaler
Cardiology · Birmingham, AL
56156
NPI 178061191344232
UNIVERSITY OF ALABAMA AT BIRMINGHAM44200
Oscar Booker
Cardiology · Birmingham, AL
23122
Navin Nanda
Cardiology · Birmingham, AL
2035
Nina Terry
Diagnostic Radiology · Birmingham, AL
1968
Hrudaya Nath
Diagnostic Radiology · Birmingham, AL
1974
Jose Tallaj
Advanced Heart Failure and Transplant Cardiology · Birmingham, AL
1957
Pohoey Fan
Cardiology · Birmingham, AL
1856
Frank Seghatol-Eslami
Cardiology · Saint Louis, MO
1567
Jubal Watts
Diagnostic Radiology · Birmingham, AL
1454
Steven Pogwizd
Cardiology · Birmingham, AL
1226
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.