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PROVIDER PROFILE · NPI 1427191782

Roshan ShresthaMD

Internal MedicineAtlanta, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
94
Unique beneficiaries
—
Total services
150
Distinct HCPCS
5
Medicare payment
$16K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,751 Internal Medicine providers in GA — bottom quintile (cohort median 670).
PRESCRIBING · PART D · 2024
Total Rx claims
518
Beneficiaries
—
Total drug cost
$299K
Distinct drugs
17
Brand share
20.8%
Top prescribed drugs
Ursodiol84 claims
Tacrolimus75 claims
Rifaximin56 claims
Prednisone40 claims
Tenofovir Alafenamide35 claims
QUALITY · MIPS · 2024
Final MIPS score
91.6
Quality
83.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.70%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$36K
Payment records
70
By payment type
Compensation for serving as faculty or as a speaker for a medical education program$14K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$12K
Travel and Lodging$7K
Food and Beverage$3K
Education$20
REFERRAL NETWORK

Where Roshan Shrestha'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). 22 inbound referrers · 51 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Devina Bhasin
Gastroenterology · Atlanta, GA
69272
Raymond Rubin
Gastroenterology · Atlanta, GA
51195
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
4093
HARTMANN, ERICA36153
MCCOY, CAROLINE34136
William Arnold
Internal Medicine · Atlanta, GA
3157
Jon Wagreich
Diagnostic Radiology · Atlanta, GA
3167
TUMEH, SABAH31113
John Hurst
Internal Medicine · Atlanta, GA
3066
Gonzalo Fernandez
Diagnostic Radiology · Atlanta, GA
2873
Aravind Arepally
Diagnostic Radiology · Atlanta, GA
2699
JACOBS, LOUIS2575
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PIEDMONT HOSPITAL, INC2781,330
Lance Stein
Gastroenterology · Atlanta, GA
82354
Devina Bhasin
Gastroenterology · Atlanta, GA
52208
Raymond Rubin
Gastroenterology · Atlanta, GA
49200
Johnson Liou
Diagnostic Radiology · Atlanta, GA
40125
MCCOY, CAROLINE35147
Eric Gibney
Nephrology · Atlanta, GA
35205
Steven Citron
Diagnostic Radiology · Atlanta, GA
34112
Ashur Lawand
Diagnostic Radiology · Atlanta, GA
34148
Michael Bosley
Diagnostic Radiology · Atlanta, GA
3487
HARTMANN, ERICA33129
David Caldwell
Diagnostic Radiology · Atlanta, GA
3295
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.