PROVIDER PROFILE · NPI 1285827840

Nilesh Patil

Orthopedic SurgerySomerset, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

783

Unique beneficiaries

—

Total services

1,103

Distinct HCPCS

Medicare payment

$58K

Peer benchmark

Total Medicare services vs. 974 Orthopedic Surgery providers in PA — below median (cohort median 1,699).

PRESCRIBING · PART D · 2024

Total Rx claims

310

Beneficiaries

—

Total drug cost

$920

Distinct drugs

Brand share

9.4%

Top prescribed drugs

Meloxicam119 claims

Tramadol Hcl73 claims

Hydrocodone/Acetaminophen29 claims

Amoxicillin29 claims

Oxycodone Hcl22 claims

QUALITY · MIPS · 2024

Final MIPS score

80.9

Quality

61.9

Cost

74.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.25%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$34

Payment records

By payment type

Food and Beverage$34

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Home health agency

Home health agency

Hospital

Hospital

REFERRAL NETWORK

Where Nilesh Patil'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). 11 inbound referrers · 23 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MILLINOCKET REGIONAL HOSPITAL	262	1,580
NPI 1053317065	126	422
AFFILIATED LABORATORY, INC.	32	63
JOHNSON, DAVID	28	101
MILLINOCKET REGIONAL HOSPITAL	25	44
Edward Dunstan Family Practice · Millinocket, ME	21	85
Joseph Aquilina Nurse Practitioner · Millinocket, ME	17	72
PENOBSCOT VALLEY HOSPITAL	14	33
Andre Parent Physician Assistant · Millinocket, ME	14	17
HERBERT, DANIEL	13	25
Jil Beaupain Podiatry · Sherman, ME	12	17

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MILLINOCKET REGIONAL HOSPITAL	165	723
NPI 1053317065	80	216
MILLINOCKET REGIONAL HOSPITAL	41	77
JOHNSON, DAVID	36	80
EASTERN MAINE MEDICAL CENTER	33	70
JACKSON, RANDY	32	129
AFFILIATED LABORATORY, INC.	31	61
HUNT, ROSE ANN	25	78
MILLINOCKET REGIONAL HOSPITAL	22	44
HEALTH ACCESS NETWORK, INC.	20	59
Marco Cornelio Family Practice · Sanford, ME	20	65
KATAHDIN VALLEY HEALTH CENTER	19	74

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