PROVIDER PROFILE · NPI 1447330915

Rahul KaleMD

PRACTICEPALOMA MEDICAL GROUP INCSee all providers at this practice →

Pulmonary DiseaseSan Juan Capistrano, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

751

Unique beneficiaries

—

Total services

2,878

Distinct HCPCS

Medicare payment

$351K

Peer benchmark

Total Medicare services vs. 901 Pulmonary Disease providers in CA — top quintile (cohort median 927).

PRESCRIBING · PART D · 2024

Total Rx claims

798

Beneficiaries

—

Total drug cost

$108K

Distinct drugs

Brand share

51.4%

Top prescribed drugs

Ipratropium/Albuterol Sulfate84 claims

0.9 % Sodium Chloride73 claims

Metoprolol Tartrate51 claims

Chlorhexidine Gluconate49 claims

Rivaroxaban46 claims

QUALITY · MIPS · 2024

Final MIPS score

80.2

Quality

59.7

Cost

66.7

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.22%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

REFERRAL NETWORK

Where Rahul Kale'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). 26 inbound referrers · 45 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Steven Sorenson Diagnostic Radiology · Redlands, CA	108	449
Michael Rovzar Pulmonary Disease · San Juan Capistrano, CA	85	231
Jeffrey Dym Diagnostic Radiology · Laguna Niguel, CA	82	294
William Chang Pulmonary Disease · San Juan Capistrano, CA	79	262
Navid Jahed Diagnostic Radiology · Mission Viejo, CA	75	222
Jackson Penry Diagnostic Radiology · Mission Viejo, CA	56	183
HERREN ENTERPRISES INC	51	118
Unilab Corporation Clinical Laboratory · West Hills, CA	40	91
Brett Wertman Cardiology · Mission Viejo, CA	37	142
SADDLEBACK MEMORIAL MEDICAL CENTER	36	93
Cameron Khavarian Internal Medicine · Newport Beach, CA	31	1,351
Tze Ip Cardiology · Mission Viejo, CA	28	72

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MISSION HOSPITAL REGIONAL MEDICAL CENTER	101	225
Sanjivan Kohli Pulmonary Disease · San Juan Capistrano, CA	80	220
Jason Pang Nephrology · Laguna Hills, CA	67	312
Steven Sorenson Diagnostic Radiology · Redlands, CA	63	193
William Chang Pulmonary Disease · San Juan Capistrano, CA	62	220
Jeffrey Dym Diagnostic Radiology · Laguna Niguel, CA	57	135
Michael Rovzar Pulmonary Disease · San Juan Capistrano, CA	51	110
Todd Lempert Diagnostic Radiology · Eden Prairie, MN	42	109
Navid Jahed Diagnostic Radiology · Mission Viejo, CA	41	120
Andrew Breiterman Diagnostic Radiology · Mission Viejo, CA	38	107
CHUDNOVSKY, VADIM	37	278
Jackson Penry Diagnostic Radiology · Mission Viejo, CA	36	81

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