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PROVIDER PROFILE · NPI 1295723385

Gautam MishraMD

PRACTICESUSQUEHANNA OPTICAL INCSee all providers at this practice →
OphthalmologyHarrisburg, PAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 390067
Hospital
CCN 390256
Hospital
QUALITY · MIPS · 2024
Final MIPS score
88.7
Quality
88.3
Cost
77.8
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.58%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,232
Beneficiaries
—
Total drug cost
$201K
Distinct drugs
22
Brand share
41.4%
Top prescribed drugs
Dorzolamide Hcl/Timolol Maleat208 claims
Latanoprost201 claims
Lorazepam175 claims
Timolol Maleate132 claims
Bimatoprost65 claims
REFERRAL NETWORK

Where Gautam Mishra'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). 8 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UPMC PINNACLE HOSPITALS93191
Capital Surgery And Laser Center, Llc
Ambulatory Surgical Center · Harrisburg, PA
76159
THE GETTYSBURG HOSPITAL50129
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
3876
Family Practice Center, Pc
Clinical Laboratory · Selinsgrove, PA
2241
MERRITT, ROBERT2056
Brett Ernst
Ophthalmology · Harrisburg, PA
1518
YORK HOSPITAL1222
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Capital Surgery And Laser Center, Llc
Ambulatory Surgical Center · Harrisburg, PA
142503
UPMC PINNACLE HOSPITALS91185
WEIR, MICHAEL48162
THE GETTYSBURG HOSPITAL48109
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER44101
THE MILTON S HERSHEY MEDICAL CENTER36131
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
3680
NPI 16492546162484
Brett Ernst
Ophthalmology · Harrisburg, PA
1827
Family Practice Center, Pc
Clinical Laboratory · Selinsgrove, PA
1634
MERRITT, ROBERT1529
Jeffrey Miller
Optometry · Harrisburg, PA
1317
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$353
Payment records
16
By payment type
Food and Beverage$353
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,634
Unique beneficiaries
—
Total services
2,182
Distinct HCPCS
13
Medicare payment
$230K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 810 Ophthalmology providers in PA — above median (cohort median 1,854).