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PROVIDER PROFILE · NPI 1417162215

Rupen ModiDO, MBA, FACEP

PRACTICEPINNACLE HEALTH SYSTEMSee all providers at this practice →
Emergency MedicineHarrisburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
93.5
Quality
92.2
Cost
78.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.78%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
15
Beneficiaries
—
Total drug cost
$191
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Cefuroxime Axetil15 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
214
Unique beneficiaries
—
Total services
218
Distinct HCPCS
3
Medicare payment
$28K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,759 Emergency Medicine providers in PA — below median (cohort median 310).
REFERRAL NETWORK

Where Rupen Modi'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). 38 inbound referrers · 106 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UPMC PINNACLE HOSPITALS79255
KAPADIA, KIRAN5589
Venkatesh Nadar
Cardiology · Camp Hill, PA
4067
Charles Austin
Diagnostic Radiology · Lewisberry, PA
4059
Christopher Bloomer
Diagnostic Radiology · Lewisberry, PA
3856
Nicholas Otto
Diagnostic Radiology · Lewisberry, PA
3770
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
3581
Patricia Barry-Lane
Diagnostic Radiology · Lewisberry, PA
3243
Allen Levy
Diagnostic Radiology · Lewisberry, PA
2942
Cynthia Jackson
Diagnostic Radiology · Lewisberry, PA
2740
Rashid Anjum
Hospitalist · Chambersburg, PA
2742
Hampden Township
Ambulance Service Provider · Mechanicsburg, PA
2545
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER4721,126
West Shore Advanced Life Support Services, Inc.
Ambulance Service Provider · Danville, PA
121249
UPMC PINNACLE HOSPITALS108322
James Lightfoot
Cardiology · Camp Hill, PA
69152
Scott Wright
Diagnostic Radiology · Lewisberry, PA
6199
Richard Moser
Diagnostic Radiology · Lewisberry, PA
59101
Ketan Sheth
Cardiology · Camp Hill, PA
5889
David Man
Clinical Cardiac Electrophysiology · Camp Hill, PA
4870
Shruthi Pranesh
Cardiology · Camp Hill, PA
4779
Michael Lupinacci
Physical Medicine and Rehabilitation · Mechanicsburg, PA
42278
Commissioners Of Lower Allen Twp
Ambulance Service Provider · Camp Hill, PA
3973
Ernest Camponovo
Diagnostic Radiology · Beachwood, OH
3858
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.