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PROVIDER PROFILE · NPI 1396739470

Sean LaiM.D,

GastroenterologySanta Monica, CAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,140
Unique beneficiaries
—
Total services
2,607
Distinct HCPCS
14
Medicare payment
$239K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,398 Gastroenterology providers in CA — top quintile (cohort median 750).
PRESCRIBING · PART D · 2024
Total Rx claims
600
Beneficiaries
—
Total drug cost
$32K
Distinct drugs
18
Brand share
9.3%
Top prescribed drugs
Pantoprazole Sodium109 claims
Famotidine92 claims
Lactulose61 claims
Sucralfate39 claims
Atorvastatin Calcium36 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
85.0
Cost
79.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$29
Payment records
1
By payment type
Food and Beverage$29
REFERRAL NETWORK

Where Sean Lai'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). 63 inbound referrers · 91 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PROVIDENCE SAINT JOHN'S HEALTH CENTER2201,490
Joy Foster
Diagnostic Radiology · Edina, MN
1082,575
SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC101384
THC - ORANGE COUNTY LLC98484
Ali Hadadz
General Practice · Marina Del Rey, CA
66914
Justin Bick-Forrester
Diagnostic Radiology · Los Angeles, CA
63520
Unilab Corporation
Clinical Laboratory · West Hills, CA
45148
Rae Joselson
Pathology · Santa Monica, CA
43212
City Of Los Angeles
Ambulance Service Provider · Los Angeles, CA
43129
Bernard Weintraub
Pulmonary Disease · Santa Monica, CA
41692
Jamshid Niknam
Internal Medicine · Inglewood, CA
37437
Harvey Deutsch
General Surgery · Santa Monica, CA
36598
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PROVIDENCE SAINT JOHN'S HEALTH CENTER164780
Joy Foster
Diagnostic Radiology · Edina, MN
1012,118
Howard Staniloff
Cardiology · Inglewood, CA
64662
Ali Hadadz
General Practice · Marina Del Rey, CA
60726
Leonid Kleynberg
Hematology-Oncology · Los Angeles, CA
50696
Jimmy Huang
Family Practice · Los Angeles, CA
47604
THC - ORANGE COUNTY LLC45254
Justin Bick-Forrester
Diagnostic Radiology · Los Angeles, CA
44248
Rae Joselson
Pathology · Santa Monica, CA
43143
ELITE AMBULANCE, INC.42117
Robert Giombetti
Neurology · Marina Del Rey, CA
41799
Ira Smalberg
Diagnostic Radiology · Santa Monica, CA
40199
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.