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PROVIDER PROFILE · NPI 1316910615

Priti PandyaMD

GastroenterologySmyrna, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 110035
Hospital
CCN 110042
Hospital
CCN 110143
Hospital
CCN 110184
Hospital
CCN 112007
Long-term care hospital
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
82.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$521
Payment records
18
By payment type
Food and Beverage$521
PRESCRIBING · PART D · 2024
Total Rx claims
1,375
Beneficiaries
—
Total drug cost
$73K
Distinct drugs
21
Brand share
21.9%
Top prescribed drugs
Pantoprazole Sodium376 claims
Famotidine247 claims
Sodium Chloride/Nahco3/Kcl/Peg134 claims
Omeprazole69 claims
Sucralfate56 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
563
Unique beneficiaries
—
Total services
659
Distinct HCPCS
10
Medicare payment
$65K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 389 Gastroenterology providers in GA — above median (cohort median 747).
REFERRAL NETWORK

Where Priti Pandya'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). 60 inbound referrers · 100 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COBB HOSPITAL, INC244712
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
175452
Thomas Hinz
Diagnostic Radiology · Marietta, GA
4691
Thomas Orourke
Pathology · Alpharetta, GA
4253
Joseph Moyers
Diagnostic Radiology · Marietta, GA
3897
Stuart Resnick
Diagnostic Radiology · Marietta, GA
3678
Jay Cinnamon
Diagnostic Radiology · Marietta, GA
3582
PAULDING MEDICAL CENTER, INC.3157
Thomas Murphy
Diagnostic Radiology · Marietta, GA
3177
Michael Hardee
Cardiology · Austell, GA
3188
Julian Isakow
Cardiology · Austell, GA
31113
Brian Gordon
Diagnostic Radiology · Marietta, GA
3069
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COBB HOSPITAL, INC216672
Dca Diagnostics, Llc
Ambulatory Surgical Center · Lithia Springs, GA
121203
Thomas Orourke
Pathology · Alpharetta, GA
106184
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
81156
KENNESTONE HOSPITAL, INC.78173
Lindsay Amell
Certified Registered Nurse Anesthetist (CRNA) · Montgomery, AL
6098
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
58120
Puckett Emergency Medical Services, Llc
Ambulance Service Provider · Austell, GA
50138
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
4189
Marla Franks
Pathology · Austell, GA
37109
Jocephus Currin
Certified Registered Nurse Anesthetist (CRNA) · Marietta, GA
3652
Nikhil Parsh
Diagnostic Radiology · Marietta, GA
3355
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.