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PROVIDER PROFILE · NPI 1285888016

Hiral PatelMD

PRACTICEPULMMED LLCSee all providers at this practice →
General SurgeryFalls Church, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 490040
Hospital
CCN 490063
Hospital
CCN 490101
Hospital
CCN 490122
Hospital
REFERRAL NETWORK

Where Hiral Patel'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). 13 inbound referrers · 34 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
3355
RESTON HOSPITAL CENTER LLC2563
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
2258
Barry Walter
General Surgery · Fairfax, VA
2237
MEDICAL TRANSPORTATION SERVICES, LLC1945
INOVA HEALTH CARE SERVICES1728
Ingrid Schneider
Diagnostic Radiology · Fairfax, VA
1634
Timothy Shaver
General Surgery · Reston, VA
1443
Bruce Urban
Diagnostic Radiology · Charlottesville, VA
1323
Marianne Shih
Diagnostic Radiology · Fairfax, VA
1322
Luke Yao
Diagnostic Radiology · Fairfax, VA
1218
John Ruff
Diagnostic Radiology · Fairfax, VA
1228
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
INOVA HEALTH CARE SERVICES56162
Ranjit Pullarkat
Critical Care (Intensivists) · Manassas, VA
53188
INOVA HEALTH CARE SERVICES4492
Robert Ahmed
General Surgery · Fairfax, VA
4174
Richard Brenner
General Surgery · Fairfax, VA
3450
MEDICAL TRANSPORTATION SERVICES, LLC3278
Barry Walter
General Surgery · Fairfax, VA
2751
Director Of Finance-County Of Fairfax Va
Ambulance Service Provider · Fairfax, VA
2136
Jonathan Alfert
Diagnostic Radiology · Fairfax, VA
1930
Marianne Shih
Diagnostic Radiology · Fairfax, VA
1824
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
1837
Robert Cunnion
Cardiology · Fairfax, VA
1842
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
240
Unique beneficiaries
—
Total services
287
Distinct HCPCS
9
Medicare payment
$34K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 538 General Surgery providers in VA — above median (cohort median 316).
QUALITY · MIPS · 2024
Final MIPS score
83.4
Quality
73.0
Cost
71.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.35%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
30
Beneficiaries
—
Total drug cost
$63
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Oxycodone Hcl30 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
8
By payment type
Food and Beverage$638
Long term medical supply or device loan$510
Travel and Lodging$34
Gift$9