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PROVIDER PROFILE · NPI 1437136454

Rafi AliM.D.

GastroenterologyNaperville, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
803
Beneficiaries
—
Total drug cost
$90K
Distinct drugs
12
Brand share
44.1%
Top prescribed drugs
Omeprazole189 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl141 claims
Pantoprazole Sodium77 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl76 claims
Sodium Chloride/Nahco3/Kcl/Peg65 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
957
Unique beneficiaries
—
Total services
1,091
Distinct HCPCS
23
Medicare payment
$84K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 606 Gastroenterology providers in IL — top quintile (cohort median 726).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$43
Payment records
2
By payment type
Food and Beverage$43
REFERRAL NETWORK

Where Rafi Ali'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). 21 inbound referrers · 34 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
EDWARD HOSPITAL159425
Alan Nazerian
Diagnostic Radiology · Oak Brook, IL
2545
Andrew Yu
Pulmonary Disease · Westmont, IL
2136
Richard Anderson
Pathology · Naperville, IL
2037
SHERMAN, LEONARD1943
Paul Backas
Diagnostic Radiology · Naperville, IL
1830
SCHULTZ, KURT1735
Aheed Siddiqi
Diagnostic Radiology · Downers Grove, IL
1632
Laboratory Corporation Of America
Clinical Laboratory · Itasca, IL
1530
Charles Yohannan
Hospitalist · Winfield, IL
1536
Kashyap Katwala
Gastroenterology · Naperville, IL
1430
Leslie Mattson
Internal Medicine · Bloomingdale, IL
1438
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Dmg Surgical Center Llc
Ambulatory Surgical Center · Lombard, IL
83172
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
67177
EDWARD HOSPITAL57121
ADVOCATE HEALTH AND HOSPITALS CORPORATION55108
Dwight Morrow
Pathology · Naperville, IL
2358
Reena Julka
Hospitalist · Winfield, IL
1834
Jobby Mampilly
Pulmonary Disease · Naperville, IL
1727
GOLDBERG, PAUL1724
Cathryn Goldberg
Pathology · Naperville, IL
1734
RESIDENTIAL HOME HEALTH ILLINOIS, LLC1625
John Porcelli
Pulmonary Disease · Westmont, IL
1521
PIEDRA, RAFAEL1418
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.