What is Neal Birnbaum's specialty?

Neal Birnbaum (NPI 1437142882) is a Medicare-billing provider whose primary specialty is Rheumatology in San Rafael, CA.

Where does Neal Birnbaum practice?

Neal Birnbaum practices in San Rafael, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1437142882.

How much does Medicare pay Neal Birnbaum?

Neal Birnbaum (NPI 1437142882) received approximately $485K in total Medicare Part B payments, serving 272 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1437142882

Neal BirnbaumM.D.

PRACTICEPACIFIC RHEUMATOLOGY ASSOCIATES MEDICAL GROUPSee all providers at this practice →

RheumatologySan Rafael, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

756

Unique beneficiaries

—

Total services

29,017

Distinct HCPCS

Medicare payment

$378K

Peer benchmark

Total Medicare services vs. 530 Rheumatology providers in CA — top quintile (cohort median 1,833).

PRESCRIBING · PART D · 2024

Total Rx claims

1,376

Beneficiaries

—

Total drug cost

$3.0M

Distinct drugs

Brand share

41.4%

Top prescribed drugs

Prednisone300 claims

Hydroxychloroquine Sulfate208 claims

Methotrexate Sodium138 claims

Allopurinol90 claims

Adalimumab87 claims

QUALITY · MIPS · 2024

Final MIPS score

93.8

Quality

87.6

Cost

100.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.79%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$23K

Payment records

141

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$19K

Food and Beverage$3K

Travel and Lodging$821

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$19K

Food and Beverage$3K

Travel and Lodging$821

REFERRAL NETWORK

Where Neal Birnbaum'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). 1 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UCSF HEALTH COMMUNITY HOSPITALS	11	22

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SUTTER BAY HOSPITALS	128	411
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	29	44
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	28	80
UKIAH ADVENTIST HOSPITAL	23	37
ADVENTIST HEALTH MENDOCINO COAST	21	69
Unilab Corporation Clinical Laboratory · Sacramento, CA	13	27
Quest Diagnostics Nichols Institute Clinical Laboratory · San Juan Capistrano, CA	13	31
OSHITA, ALLEN	11	17

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