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PROVIDER PROFILE · NPI 1285609321

Ajay VermaMD

PRACTICEDECATUR MEMORIAL HOSPITALSee all providers at this practice →
Pulmonary DiseaseDecatur, ILI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 140135
Hospital
CCN 140166
Hospital
CCN 141354
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,356
Unique beneficiaries
—
Total services
1,655
Distinct HCPCS
17
Medicare payment
$86K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 434 Pulmonary Disease providers in IL — above median (cohort median 957).
PRESCRIBING · PART D · 2024
Total Rx claims
695
Beneficiaries
—
Total drug cost
$226K
Distinct drugs
12
Brand share
88.3%
Top prescribed drugs
Albuterol Sulfate124 claims
Fluticasone/Umeclidin/Vilanter91 claims
Fluticasone Propion/Salmeterol70 claims
Umeclidinium Bromide67 claims
Fluticasone/Vilanterol57 claims
QUALITY · MIPS · 2024
Final MIPS score
73.9
Quality
63.9
Cost
77.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-0.13%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$24
Payment records
5
By payment type
Food and Beverage$24
REFERRAL NETWORK

Where Ajay Verma'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). 70 inbound referrers · 136 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Harsh Chawla
Hospitalist · Williamston, NC
273651
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
233529
Adam Zorn
Diagnostic Radiology · Milwaukee, WI
177445
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER165529
DECATUR AMBULANCE SERVICE, INC.132307
John Waters
Interventional Cardiology · Kearney, NE
128303
Tansel Turgut
Interventional Cardiology · Michigan City, IN
122331
James Brumit
Diagnostic Radiology · Knoxville, TN
122306
Madhu Jyothinagaram
Cardiology · Fort Wayne, IN
84328
Nadal Aker
Cardiology · Decatur, IL
68221
Mohammed Dawood
Nephrology · Decatur, IL
47178
Bruce Linder
Diagnostic Radiology · Lisle, IL
45108
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DECATUR MEMORIAL HOSPITAL6992,621
Jon Arnold
Pulmonary Disease · Decatur, IL
300849
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER168511
Harsh Chawla
Hospitalist · Williamston, NC
161419
Jonathan Locke
Diagnostic Radiology · Decatur, IL
155317
Mark Muscato
Diagnostic Radiology · Decatur, IL
139293
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
138332
Adam Zorn
Diagnostic Radiology · Milwaukee, WI
110216
Howard Wiarda
Interventional Radiology · South Bend, IN
107243
James Brumit
Diagnostic Radiology · Knoxville, TN
106224
Tansel Turgut
Interventional Cardiology · Michigan City, IN
93172
Desi Dennis
Diagnostic Radiology · Goodlettsville, TN
92214
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.