What is Pratibha Rao's specialty?

Pratibha Rao (NPI 1346231263) is a Medicare-billing provider whose primary specialty is Hospitalist in Montclair, NJ.

Where does Pratibha Rao practice?

Pratibha Rao practices in Montclair, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1346231263.

How much does Medicare pay Pratibha Rao?

Pratibha Rao (NPI 1346231263) received approximately $100K in total Medicare Part B payments, serving 507 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1346231263

Pratibha RaoMD

PRACTICEVERITAS MEDICAL INCSee all providers at this practice →

HospitalistMontclair, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

829

Unique beneficiaries

—

Total services

1,065

Distinct HCPCS

Medicare payment

$99K

Peer benchmark

Total Medicare services vs. 352 Hospitalist providers in NJ — top quintile (cohort median 559).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$8K

Distinct drugs

Brand share

20.6%

Top prescribed drugs

Metoprolol Succinate24 claims

Pantoprazole Sodium15 claims

Apixaban13 claims

Prednisone11 claims

QUALITY · MIPS · 2024

Final MIPS score

95.0

Quality

85.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.84%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Pratibha Rao'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). 68 inbound referrers · 121 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE VALLEY HOSPITAL INC.	352	1,301
Marcus Williams Cardiology · Fair Lawn, NJ	202	452
Howard Seigerman Diagnostic Radiology · Waldwick, NJ	80	221
Kyung-Hwa Rhee Diagnostic Radiology · Waldwick, NJ	68	174
Jaclyn Calem-Grunat Diagnostic Radiology · Waldwick, NJ	65	159
Lauren Levy Diagnostic Radiology · Waldwick, NJ	65	164
Hossam Hanna Hospitalist · Harris, NY	65	293
Glenn Krinsky Diagnostic Radiology · Waldwick, NJ	62	138
Edward Lubat Diagnostic Radiology · Waldwick, NJ	57	127
Harini Mallipeddi Hospitalist · Ridgewood, NJ	52	165
RAMBLER, LOUIS	46	112
Raphael Flowers Hospitalist · Nyack, NY	42	192

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
THE VALLEY HOSPITAL INC.	176	708
Marcus Williams Cardiology · Fair Lawn, NJ	174	338
VALLEY HOME CARE, INC	104	229
Elliot Lerner Diagnostic Radiology · Waldwick, NJ	75	158
Mayur Paralkar Hospitalist · Pompton Plains, NJ	63	281
Jyothi Kulkarni Hospitalist · Ridgewood, NJ	57	237
Glenn Krinsky Diagnostic Radiology · Waldwick, NJ	56	123
Keith Dockery Diagnostic Radiology · Waldwick, NJ	56	140
Scott Degregorio Diagnostic Radiology · Waldwick, NJ	56	126
Jennifer Koo Diagnostic Radiology · Waldwick, NJ	55	107
Hossam Hanna Hospitalist · Harris, NY	54	273
Shyunti Das Internal Medicine · Paramus, NJ	52	95

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events