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PROVIDER PROFILE · NPI 1306834700

Utpal PatelM.D.

Internal MedicineMurfreesboro, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 447114
Home health agency
CCN 447581
Home health agency
REFERRAL NETWORK

Where Utpal 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). 10 inbound referrers · 21 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Sadhish Siva
Diagnostic Radiology · Murfreesboro, TN
5990
SAINT THOMAS RUTHERFORD HOSPITAL47119
Alexandra Bivens
Nurse Practitioner · Nashville, TN
3373
PATRICK, KATHERINE3072
VANDERBILT UNIVERSITY MEDICAL CENTER2561
Murali Kolli
Cardiology · Nashville, TN
1655
Andrea Taylor
Nurse Practitioner · Murfreesboro, TN
1436
Bretton Smith
Diagnostic Radiology · Murfreesboro, TN
1439
Troy Sofinowski
Urology · Greenville, SC
1122
Terence Casey
Pathology · New Orleans, LA
1120
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Sadhish Siva
Diagnostic Radiology · Murfreesboro, TN
81175
Andrew Fong
Diagnostic Radiology · Murfreesboro, TN
71188
PATRICK, KATHERINE56186
SAINT THOMAS RUTHERFORD HOSPITAL48121
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
47179
Alexandra Bivens
Nurse Practitioner · Nashville, TN
3473
VANDERBILT UNIVERSITY MEDICAL CENTER2996
BOONE, JOSEPH2237
William Noah
Sleep Medicine · Murfreesboro, TN
2245
Albert Kattine
Dermatology · Murfreesboro, TN
1733
Murali Kolli
Cardiology · Nashville, TN
1579
William Newton
Physical Medicine and Rehabilitation · Winchester, TN
1435
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
3,252
Unique beneficiaries
—
Total services
3,853
Distinct HCPCS
35
Medicare payment
$109K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,907 Internal Medicine providers in TN — top quintile (cohort median 791).
PRESCRIBING · PART D · 2024
Total Rx claims
6,221
Beneficiaries
—
Total drug cost
$630K
Distinct drugs
110
Brand share
22.2%
Top prescribed drugs
Atorvastatin Calcium512 claims
Rosuvastatin Calcium346 claims
Amlodipine Besylate292 claims
Levothyroxine Sodium260 claims
Simvastatin254 claims
QUALITY · MIPS · 2024
Final MIPS score
87.8
Quality
79.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
93.1
Payment adjustment
0.54%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
76
By payment type
Food and Beverage$1K