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PROVIDER PROFILE · NPI 1376556357

Jose PelayoM.D.

PRACTICESHARP HEALTHCARESee all providers at this practice →
Internal MedicineChula Vista, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
214
Unique beneficiaries
—
Total services
306
Distinct HCPCS
6
Medicare payment
$23K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 10,499 Internal Medicine providers in CA — below median (cohort median 531).
PRESCRIBING · PART D · 2024
Total Rx claims
6,717
Beneficiaries
—
Total drug cost
$460K
Distinct drugs
100
Brand share
21.1%
Top prescribed drugs
Atorvastatin Calcium721 claims
Amlodipine Besylate400 claims
Metformin Hcl356 claims
Losartan Potassium321 claims
Levothyroxine Sodium280 claims
QUALITY · MIPS · 2024
Final MIPS score
88.7
Quality
81.0
Cost
82.0
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.58%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Jose Pelayo'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). 9 inbound referrers · 16 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Edward Greene
Internal Medicine · Chula Vista, CA
4491
Alshafie Hassan
Internal Medicine · Chula Vista, CA
3687
SHARP CHULA VISTA MEDICAL CENTER3091
Sharp Healthcare
Clinical Laboratory · San Diego, CA
2442
Marco Gonzalez
Family Practice · Chula Vista, CA
2445
SHARP MEMORIAL HOSPITAL1825
Alan Jones
Podiatry · Chula Vista, CA
1843
Barbara Hsu
Diagnostic Radiology · San Diego, CA
1624
Matthew Labarbera
Cardiology · The Dalles, OR
1223
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Sharp Healthcare
Clinical Laboratory · Chula Vista, CA
92297
Sharp Healthcare
Clinical Laboratory · San Diego, CA
86265
Tracy Polanco
Family Practice · Chula Vista, CA
57120
Jorge Pelayo-Garcia
Family Practice · Chula Vista, CA
55143
Robert Sartor
Internal Medicine · Chula Vista, CA
3994
SHARP CHULA VISTA MEDICAL CENTER3387
Sharp Healthcare
Clinical Laboratory · Chula Vista, CA
2986
SHARP MEMORIAL HOSPITAL2439
Joanne Mo
Family Practice · Bonita, CA
1628
Sharp Healthcare
Clinical Laboratory · San Diego, CA
1531
Barry Lumkin
Diagnostic Radiology · San Diego, CA
1423
Douglas Darlin
Urology · Chula Vista, CA
1347
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.