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PROVIDER PROFILE · NPI 1407134422

Dilpesh AgrawalM.D, MRCP

GastroenterologyMilwaukee, WII
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Dilpesh Agrawal'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). 1 inbound referrers · 4 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.95795
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.56566
Wisconsin Diagnostic Laboratories Llc
Clinical Laboratory · Milwaukee, WI
1867
Daniel Stein
Gastroenterology · Milwaukee, WI
15262
Guillermo Carrera
Diagnostic Radiology · Milwaukee, WI
1116
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
129
Unique beneficiaries
—
Total services
137
Distinct HCPCS
5
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 249 Gastroenterology providers in WI — bottom quintile (cohort median 484).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
217
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
8
Brand share
52.1%
Top prescribed drugs
Ustekinumab48 claims
Pantoprazole Sodium38 claims
Omeprazole35 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl32 claims
Linaclotide21 claims
QUALITY · MIPS · 2024
Final MIPS score
88.0
Quality
82.8
Cost
77.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.55%
Group