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PROVIDER PROFILE · NPI 1265577175

Upali WalgamaMD

PRACTICEHENDERSON FAMILY MEDICINE, PLLCSee all providers at this practice →
Internal MedicineHenderson, TXI
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 459266
Home health agency
CCN 450475
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,274
Beneficiaries
—
Total drug cost
$51K
Distinct drugs
49
Brand share
28.3%
Top prescribed drugs
Hydrocodone/Acetaminophen117 claims
Atorvastatin Calcium85 claims
Alprazolam68 claims
Acetaminophen With Codeine54 claims
Metoprolol Succinate46 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$521
Payment records
27
By payment type
Food and Beverage$521
Top paying entities
Food and Beverage$521
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
123
Unique beneficiaries
—
Total services
252
Distinct HCPCS
4
Medicare payment
$13K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,183 Internal Medicine providers in TX — below median (cohort median 673).
REFERRAL NETWORK

Where Upali Walgama'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). 21 inbound referrers · 34 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Champion Ems
Ambulance Service Provider · Longview, TX
65196
Jeremy Chester
Emergency Medicine · Kaufman, TX
50129
SPRINGFIELD & SPRINGFIELD INVESTMENTS, LLC35106
Suman Choudhury
Internal Medicine · Mcallen, TX
3370
AUTUMN LEAVES NURSING AND REHAB INC31154
Michael Williams
Diagnostic Radiology · Tyler, TX
2139
Edwin Emborgo
Family Practice · Nacogdoches, TX
2138
EAST TEXAS MEDICAL CENTER2042
Gerald Akpassa
Internal Medicine · Longview, TX
2043
Timothy Leihgeber
Diagnostic Radiology · Tyler, TX
1943
Robert Sanchez
Diagnostic Radiology · Tyler, TX
1952
Gregory Schultz
Diagnostic Radiology · Tyler, TX
1736
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
EAST TEXAS MEDICAL CENTER HENDERSON159447
Champion Ems
Ambulance Service Provider · Longview, TX
59229
AUTUMN LEAVES NURSING AND REHAB INC36265
ADVANCING AT HOME HEALTH CARE LLC2667
EAST TEXAS MEDICAL CENTER2245
Jeremy Chester
Emergency Medicine · Kaufman, TX
2252
Edwin Emborgo
Family Practice · Nacogdoches, TX
2138
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER2158
Douglas Macha
Diagnostic Radiology · Tyler, TX
1943
James Cabell
Diagnostic Radiology · Tyler, TX
1938
HAYES, THOMAS1939
Timothy Leihgeber
Diagnostic Radiology · Tyler, TX
1935
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.