PROVIDER PROFILE · NPI 1427123702

Nilay KumarM.D., M.P.H

GastroenterologyMilwaukee, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

877

Unique beneficiaries

—

Total services

1,163

Distinct HCPCS

Medicare payment

$105K

Peer benchmark

Total Medicare services vs. 249 Gastroenterology providers in WI — top quintile (cohort median 484).

PRESCRIBING · PART D · 2024

Total Rx claims

1,054

Beneficiaries

—

Total drug cost

$46K

Distinct drugs

Brand share

49.6%

Top prescribed drugs

Pantoprazole Sodium312 claims

Sodium Chloride/Nahco3/Kcl/Peg256 claims

Sodium, Potassium,mag Sulfates227 claims

Omeprazole118 claims

Famotidine22 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$143

Payment records

By payment type

Food and Beverage$143

REFERRAL NETWORK

Where Nilay 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). 9 inbound referrers · 14 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST JOSEPH'S HOSPITAL OF MARSHFIELD, INC	87	233
ROKEY, ROXANN	22	59
Mark Hinson Diagnostic Radiology · Marshfield, WI	19	35
Aaron Dagit Diagnostic Radiology · Marshfield, WI	19	30
Elise Beres Physician Assistant · Milwaukee, WI	15	27
Shereif Rezkalla Interventional Cardiology · Marshfield, WI	13	24
Mathew So Diagnostic Radiology · Roseville, MN	11	12
Humberto Vidaillet Clinical Cardiac Electrophysiology · Marshfield, WI	11	21
SAJJAD, SYED	11	19

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Marshfield Clinic Inc Clinical Laboratory · Marshfield, WI	93	449
Brett Carmichael Diagnostic Radiology · Marshfield, WI	27	58
ST JOSEPH'S HOSPITAL OF MARSHFIELD, INC	22	52
Elise Beres Physician Assistant · Milwaukee, WI	20	47
Nathan Zelinski Diagnostic Radiology · Marshfield, WI	19	53
Mark Hinson Diagnostic Radiology · Marshfield, WI	18	36
Aaron Dagit Diagnostic Radiology · Marshfield, WI	17	31
Lisa Berres Nurse Practitioner · Marshfield, WI	16	85
Laura Burns Physician Assistant · Green Bay, WI	15	39
ROKEY, ROXANN	14	29
Satyanarayana Rao Varre Hospitalist · Marshfield, WI	13	70
Mateen Abidi Internal Medicine · La Crosse, WI	13	30

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