What is Sumanth Prabhu's specialty?

Sumanth Prabhu (NPI 1265417992) is a Medicare-billing provider whose primary specialty is Advanced Heart Failure and Transplant Cardiology in Saint Louis, MO.

Where does Sumanth Prabhu practice?

Sumanth Prabhu practices in Saint Louis, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1265417992.

How much does Medicare pay Sumanth Prabhu?

Sumanth Prabhu (NPI 1265417992) received approximately $9K in total Medicare Part B payments, serving 83 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1265417992

Sumanth PrabhuMD

Advanced Heart Failure and Transplant CardiologySaint Louis, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

110

Distinct HCPCS

Medicare payment

$6K

Peer benchmark

Total Medicare services vs. 27 Advanced Heart Failure and Transplant Cardiology providers in MO — bottom quintile (cohort median 915).

PRESCRIBING · PART D · 2024

Total Rx claims

784

Beneficiaries

—

Total drug cost

$331K

Distinct drugs

Brand share

32.0%

Top prescribed drugs

Spironolactone107 claims

Metoprolol Succinate93 claims

Sacubitril/Valsartan85 claims

Carvedilol77 claims

Furosemide62 claims

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

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$124

Payment records

By payment type

Food and Beverage$124

Top paying entities

Food and Beverage$124

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 260032

Hospital

CCN 260162

Hospital

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

Physician	Patients	Visits
UNIVERSITY OF ALABAMA AT BIRMINGHAM	94	464
Ferdinand Urthaler Cardiology · Birmingham, AL	27	122
Sushilkumar Sonavane Diagnostic Radiology · Jacksonville, FL	15	64

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Ferdinand Urthaler Cardiology · Birmingham, AL	56	156
NPI 1780611913	44	232
UNIVERSITY OF ALABAMA AT BIRMINGHAM	44	200
Oscar Booker Cardiology · Birmingham, AL	23	122
Navin Nanda Cardiology · Birmingham, AL	20	35
Nina Terry Diagnostic Radiology · Birmingham, AL	19	68
Hrudaya Nath Diagnostic Radiology · Birmingham, AL	19	74
Jose Tallaj Advanced Heart Failure and Transplant Cardiology · Birmingham, AL	19	57
Pohoey Fan Cardiology · Birmingham, AL	18	56
Frank Seghatol-Eslami Cardiology · Saint Louis, MO	15	67
Jubal Watts Diagnostic Radiology · Birmingham, AL	14	54
Steven Pogwizd Cardiology · Birmingham, AL	12	26

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