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PROVIDER PROFILE · NPI 1376556043

Ajay PillaiM.D.

PRACTICEPULMONARY MEDICAL CONSULTANTS INCSee all providers at this practice →
Pulmonary DiseaseDarby, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
1,307
Beneficiaries
—
Total drug cost
$335K
Distinct drugs
17
Brand share
82.0%
Top prescribed drugs
Albuterol Sulfate376 claims
Fluticasone/Umeclidin/Vilanter145 claims
Fluticasone/Vilanterol132 claims
Prednisone93 claims
Fluticasone Propion/Salmeterol86 claims
QUALITY · MIPS · 2024
Final MIPS score
92.1
Quality
72.2
Cost
77.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.72%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$55
Payment records
2
By payment type
Food and Beverage$55
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
406
Unique beneficiaries
—
Total services
1,004
Distinct HCPCS
11
Medicare payment
$54K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — above median (cohort median 707).
REFERRAL NETWORK

Where Ajay Pillai'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). 70 inbound referrers · 109 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Michael Korman
Pulmonary Disease · Darby, PA
128405
Michael Brooks
Diagnostic Radiology · Darby, PA
105297
Robert Borden
Diagnostic Radiology · Darby, PA
103334
Haytham Albizem
General Practice · Philadelphia, PA
85181
Fraser Brown
Diagnostic Radiology · Philadelphia, PA
83253
Oleg Teytelboym
Diagnostic Radiology · Baltimore, MD
76218
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
73168
CHAN, STANLEY71151
Justin Mackey
Diagnostic Radiology · Darby, PA
68276
Joseph Conroy
Cardiology · Darby, PA
64210
City Of Philadelphia
Ambulance Service Provider · Philadelphia, PA
59128
MERCY HOME HEALTH47104
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA172898
Michael Korman
Pulmonary Disease · Darby, PA
100370
Robert Borden
Diagnostic Radiology · Darby, PA
78259
Keystone Quality Transport Company
Ambulance Service Provider · Springfield, PA
75182
MERCY HOME HEALTH74141
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA72231
Francis Brahmakulam
Pulmonary Disease · Darby, PA
70225
Scott Rotenberg
Diagnostic Radiology · Darby, PA
69186
Malgorzata Goralczyk
Diagnostic Radiology · Darby, PA
67168
MANNING, JOHN64138
Michael Brooks
Diagnostic Radiology · Darby, PA
64218
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
62154
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.