PROVIDER PROFILE · NPI 1417117839

Roshan KothaM.D

RheumatologyLa Mesa, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

589

Unique beneficiaries

—

Total services

2,641

Distinct HCPCS

Medicare payment

$75K

Peer benchmark

Total Medicare services vs. 530 Rheumatology providers in CA — above median (cohort median 1,833).

PRESCRIBING · PART D · 2024

Total Rx claims

2,895

Beneficiaries

—

Total drug cost

$8.9M

Distinct drugs

Brand share

63.5%

Top prescribed drugs

Adalimumab346 claims

Denosumab225 claims

Methotrexate Sodium222 claims

Etanercept211 claims

Prednisone206 claims

QUALITY · MIPS · 2024

Final MIPS score

25.2

Quality

0.0

Cost

83.9

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-5.98%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$59K

Payment records

213

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$43K

Travel and Lodging$9K

Food and Beverage$5K

Consulting Fee$2K

REFERRAL NETWORK

Where Roshan Kotha'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). 2 inbound referrers · 5 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	33	93
Venu Prabaker Internal Medicine · La Mesa, CA	22	100

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
GROSSMONT HOSPITAL CORPORATION	79	296
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	27	46
Unilab Corporation Clinical Laboratory · West Hills, CA	25	56
Venu Prabaker Internal Medicine · La Mesa, CA	16	77
Akther Kotha Rheumatology · La Mesa, CA	14	18

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history