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PROVIDER PROFILE · NPI 1356392252

Ashish RawalMD

PRACTICESTOUGHTON HOSPITAL ASSOCIATIONSee all providers at this practice →
Orthopedic SurgeryStoughton, WII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.7
Quality
87.4
Cost
65.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
69
Beneficiaries
—
Total drug cost
$89
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Amoxicillin58 claims
Clindamycin Hcl11 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$353
Payment records
1
By payment type
Travel and Lodging$353
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
210
Unique beneficiaries
—
Total services
217
Distinct HCPCS
4
Medicare payment
$15K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 453 Orthopedic Surgery providers in WI — below median (cohort median 729).
REFERRAL NETWORK

Where Ashish Rawal'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 · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SSM HEALTH CARE OF WISCONSIN, INC.106314
Craig Hinkle
Physician Assistant · Madison, WI
3579
SSM HEALTH CARE OF WISCONSIN, INC.1977
City Of Janesville
Ambulance Service Provider · Janesville, WI
1724
Craig Cook
Anesthesiology · Wauwatosa, WI
1643
Samuel Gibson
Diagnostic Radiology · Madison, WI
1323
Christopher Wedding
Diagnostic Radiology · Madison, WI
1121
CLANFIELD, WILLIAM1125
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SSM HEALTH CARE OF WISCONSIN, INC.61200
DEAN HEALTH SYSTEMS, INC34459
Craig Hinkle
Physician Assistant · Madison, WI
3395
Premraj Makkuni
Cardiology · Exton, PA
1963
Samuel Gibson
Diagnostic Radiology · Madison, WI
1946
ANDREWS, DOUGLAS1937
Luke Mueller
Physical Therapist in Private Practice · Golden, CO
15219
MILLER, SCOTT1548
BOGDANOWICZ, MARTA1532
Lauren Ballo
Physician Assistant · Madison, WI
1457
Ashley Jensen
Anesthesiology · Janesville, WI
1353
EDGERTON HOSPITAL AND HEALTH SERVICES1225
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.