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PROVIDER PROFILE · NPI 1437321791

John TsaiMD

GastroenterologyAustin, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
975
Unique beneficiaries
—
Total services
1,022
Distinct HCPCS
11
Medicare payment
$104K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,103 Gastroenterology providers in TX — above median (cohort median 699).
PRESCRIBING · PART D · 2024
Total Rx claims
1,470
Beneficiaries
—
Total drug cost
$411K
Distinct drugs
21
Brand share
21.4%
Top prescribed drugs
Omeprazole656 claims
Pantoprazole Sodium402 claims
Peg3350/Sod Sul/Nacl/Kcl/Asb/C59 claims
Cholestyramine (With Sugar)37 claims
Budesonide30 claims
QUALITY · MIPS · 2024
Final MIPS score
80.0
Quality
57.9
Cost
78.8
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.21%
Group
REFERRAL NETWORK

Where John Tsai'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). 20 inbound referrers · 27 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Matthew Vanasco
Diagnostic Radiology · Tucson, AZ
3187
EMMERSON, DAVID2862
TUCSON MEDICAL CENTER2858
Richard Boyle
Diagnostic Radiology · Tucson, AZ
2690
Lawrence Kaskowitz
Diagnostic Radiology · Tucson, AZ
2671
Southwest Ambulance Of Tucson Inc
Ambulance Service Provider · Tucson, AZ
2343
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC2269
Matthew Bell
Diagnostic Radiology · Tucson, AZ
2048
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
1925
Samir Patel
Anesthesiology · Oro Valley, AZ
1718
Catherynne Morgan
Anesthesiology · Tucson, AZ
1733
Nidhi Gupta
Internal Medicine · Tucson, AZ
1422
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
DESERT SUN SURGERY CENTER LLC197427
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
137287
CARONDELET HEALTH NETWORK127309
NPI 1518951326124256
Sonora Quest Laboratories Llc
Clinical Laboratory · Phoenix, AZ
96296
Laboratory Corporation Of America
Clinical Laboratory · Phoenix, AZ
36121
Richard Boyle
Diagnostic Radiology · Tucson, AZ
3185
Matthew Vanasco
Diagnostic Radiology · Tucson, AZ
2977
PETERSON, MARK2652
TUCSON MEDICAL CENTER2648
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC2457
Lawrence Kaskowitz
Diagnostic Radiology · Tucson, AZ
1839
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
92
By payment type
Food and Beverage$2K
Education$17
Top paying entities
Food and Beverage$2K
Education$17