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PROVIDER PROFILE · NPI 1417931700

Sudhir KumarMD

Infectious DiseaseDes Moines, IAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
342
Unique beneficiaries
—
Total services
525
Distinct HCPCS
8
Medicare payment
$37K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 47 Infectious Disease providers in IA — above median (cohort median 474).
PRESCRIBING · PART D · 2024
Total Rx claims
454
Beneficiaries
—
Total drug cost
$690K
Distinct drugs
17
Brand share
45.2%
Top prescribed drugs
Bictegrav/Emtricit/Tenofov Ala109 claims
Cefadroxil42 claims
Doxycycline Hyclate40 claims
Cephalexin37 claims
Dolutegravir Sodium31 claims
QUALITY · MIPS · 2024
Final MIPS score
82.6
Quality
83.7
Cost
76.5
Improvement activities
40.0
Promoting interop.
78.0
Payment adjustment
0.32%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Sudhir Kumar'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). 33 inbound referrers · 51 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTRAL IOWA HOSPITAL CORPORATION122427
Bradley King
Diagnostic Radiology · Clive, IA
59247
RIZZI, JOHN48178
KELLER, PAUL38148
Roger Harvey
Internal Medicine · Des Moines, IA
36129
James Jacobs
Diagnostic Radiology · Clive, IA
31147
Joshua Blunck
Diagnostic Radiology · Houston, TX
3091
Leyla Best Bandenay
Infectious Disease · Des Moines, IA
30189
CENTRAL IOWA HOSPITAL CORPORATION2981
David Lacey
Diagnostic Radiology · Clive, IA
2892
NERHEIM, PAMELA2893
Lisa Veach
Infectious Disease · Des Moines, IA
2697
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CENTRAL IOWA HOSPITAL CORPORATION43191
Bradley King
Diagnostic Radiology · Clive, IA
34110
Rory Karibo
Diagnostic Radiology · Clive, IA
33247
Leyla Best Bandenay
Infectious Disease · Des Moines, IA
31162
Roger Harvey
Internal Medicine · Des Moines, IA
27120
Central Iowa Hospital Corporation
Clinical Laboratory · Ankeny, IA
27166
RIZZI, JOHN2652
LEWIS, ROSHAN26150
KELLER, PAUL2573
Amerlon Enriquez
Pulmonary Disease · West Des Moines, IA
25226
James Jacobs
Diagnostic Radiology · Clive, IA
2496
Lisa Veach
Infectious Disease · Des Moines, IA
24120
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.