PROVIDER PROFILE · NPI 1265428312

Edwin TiradoMD

Internal MedicineGainesville, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,009

Unique beneficiaries

—

Total services

1,412

Distinct HCPCS

Medicare payment

$70K

Peer benchmark

Total Medicare services vs. 2,751 Internal Medicine providers in GA — top quintile (cohort median 670).

PRESCRIBING · PART D · 2024

Total Rx claims

7,723

Beneficiaries

—

Total drug cost

$832K

Distinct drugs

122

Brand share

22.0%

Top prescribed drugs

Atorvastatin Calcium664 claims

Lisinopril473 claims

Amlodipine Besylate403 claims

Losartan Potassium333 claims

Metformin Hcl307 claims

QUALITY · MIPS · 2024

Final MIPS score

87.8

Quality

80.4

Cost

79.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.54%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 117129

Home health agency

CCN 110029

Hospital

REFERRAL NETWORK

Where Edwin Tirado'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). 14 inbound referrers · 32 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTHEAST GEORGIA MEDICAL CENTER, INC.	165	552
Ajay Ravi Diagnostic Radiology · Gainesville, GA	24	56
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	24	60
Robert Balotin Diagnostic Radiology · Gainesville, GA	23	64
HOOPER, TREVOR	22	46
Lee Martin Diagnostic Radiology · Gainesville, GA	21	38
Matthew Scott Diagnostic Radiology · Macon, GA	19	48
NORTHEAST GEORGIA MEDICAL CENTER, INC.	18	61
Richard Cory Diagnostic Radiology · Gainesville, GA	17	25
Laboratory Corporation Of America Holdings Clinical Laboratory · Gainesville, GA	15	42
Scott Stephen Diagnostic Radiology · Gainesville, GA	13	29
Julie Presley Diagnostic Radiology · Gainesville, GA	12	30

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NORTHEAST GEORGIA MEDICAL CENTER, INC.	240	1,106
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	28	96
Hall County Georgia Ambulance Service Provider · Gainesville, GA	23	44
David Carroll Diagnostic Radiology · Gainesville, GA	23	44
Antonio Rios Internal Medicine · Gainesville, GA	20	75
Julie Presley Diagnostic Radiology · Gainesville, GA	20	46
Shaan Shah Diagnostic Radiology · Gainseville, GA	20	32
Steven Black Diagnostic Radiology · Gainesville, GA	19	30
NORTHEAST GEORGIA MEDICAL CENTER, INC.	19	57
Matthew Scott Diagnostic Radiology · Macon, GA	19	33
Ajay Ravi Diagnostic Radiology · Gainesville, GA	18	34
Robert Balotin Diagnostic Radiology · Gainesville, GA	17	39

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