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PROVIDER PROFILE · NPI 1427154913

Raja KaikausMD

PRACTICEMIDWEST GASTROENTEROLOGY ASSOCIATESSee all providers at this practice →
GastroenterologyLouisville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
79.0
Quality
56.1
Cost
73.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.17%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
64
By payment type
Food and Beverage$1K
PRESCRIBING · PART D · 2024
Total Rx claims
528
Beneficiaries
—
Total drug cost
$289K
Distinct drugs
14
Brand share
53.8%
Top prescribed drugs
Sodium Chloride/Nahco3/Kcl/Peg96 claims
Lipase/Protease/Amylase69 claims
Pantoprazole Sodium61 claims
Ondansetron Hcl54 claims
Linaclotide38 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
273
Unique beneficiaries
—
Total services
368
Distinct HCPCS
10
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 167 Gastroenterology providers in KY — below median (cohort median 658).
REFERRAL NETWORK

Where Raja Kaikaus'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). 52 inbound referrers · 81 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.3311,308
Kevin Thomas
Diagnostic Radiology · Louisville, KY
61233
CANTOR, HOWARD58176
Erik Dowden
Diagnostic Radiology · Atlanta, GA
54197
JONES, WHITNEY48278
Ryan Currier
Diagnostic Radiology · Louisville, KY
48201
William Evans
Gastroenterology · Louisville, KY
47215
Frank Lee
Diagnostic Radiology · Louisville, KY
44251
Andrew Smith
Diagnostic Radiology · Louisville, KY
40154
Frederick Hardin
Gastroenterology · Louisville, KY
38184
Louisville Jefferson County Metro Government
Ambulance Service Provider · Louisville, KY
37102
ACKERMANN, DOUGLAS3699
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.125491
GIVENS, DARCI63163
JONES, WHITNEY53345
Susan Mckee
Pathology · Louisville, KY
50144
William Evans
Gastroenterology · Louisville, KY
48268
Premier Surgery Center Of Louisville Lp
Ambulatory Surgical Center · Louisville, KY
4559
Frederick Hardin
Gastroenterology · Louisville, KY
44209
Quest Diagnostics Llc Il
Clinical Laboratory · Wood Dale, IL
42125
Mahoney Cobb
Pathology · Louisville, KY
39108
Erik Dowden
Diagnostic Radiology · Atlanta, GA
39136
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
3860
Kevin Thomas
Diagnostic Radiology · Louisville, KY
37122
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.