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PROVIDER PROFILE · NPI 1326055609

Pravinchandra PatelM.D.

PRACTICEGASTROINTESTINAL DISEASES, INC.See all providers at this practice →
GastroenterologyColumbus, GAI
CROSS-REFERENCE

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QUALITY · MIPS · 2024
Final MIPS score
89.5
Quality
84.4
Cost
80.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.61%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110064
Hospital
CCN 110129
Hospital
CCN 110200
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,424
Beneficiaries
—
Total drug cost
$226K
Distinct drugs
20
Brand share
29.6%
Top prescribed drugs
Pantoprazole Sodium514 claims
Linaclotide160 claims
Omeprazole151 claims
Sucralfate129 claims
Sodium Chloride/Nahco3/Kcl/Peg120 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
933
Unique beneficiaries
—
Total services
1,047
Distinct HCPCS
17
Medicare payment
$104K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 389 Gastroenterology providers in GA — above median (cohort median 747).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
66
By payment type
Food and Beverage$1K
Education$13
REFERRAL NETWORK

Where Pravinchandra 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). 93 inbound referrers · 176 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST FRANCIS HEALTH LLC4531,770
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3351,131
THE MEDICAL CENTER INC3111,099
ENDOSCOPY CENTER OF COLUMBUS, LLC295679
Amy Neff
Certified Registered Nurse Anesthetist (CRNA) · Columbus, GA
142248
Rajinder Chhokar
Cardiology · Columbus, GA
99232
MACHESKI, WILLIAM88236
Nicholas Henson
Diagnostic Radiology · Columbus, GA
85269
YEOMAN, JOHN69172
Nishant De Quadros
Diagnostic Radiology · Columbus, GA
65209
NPI 136643616463176
Mgas Holdings, Llc
Ambulance Service Provider · Macon, GA
56150
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST FRANCIS HEALTH LLC4071,458
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
222602
THE MEDICAL CENTER INC221637
ENDOSCOPY CENTER OF COLUMBUS, LLC210430
Consolidated Pathology Inc
Clinical Laboratory · Nashville, TN
197513
Amy Neff
Certified Registered Nurse Anesthetist (CRNA) · Columbus, GA
102163
Mgas Holdings, Llc
Ambulance Service Provider · Macon, GA
93244
ADAMS, CORNELIA82148
Rajinder Chhokar
Cardiology · Columbus, GA
77190
Nicholas Henson
Diagnostic Radiology · Columbus, GA
72204
MACHESKI, WILLIAM70165
Neal Shirey
Diagnostic Radiology · Griffin, GA
65162
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.