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PROVIDER PROFILE · NPI 1457366858

Sushilkumar TibrewalaM.D.

PRACTICEGASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLCSee all providers at this practice →
GastroenterologyHerrin, ILI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
842
Beneficiaries
—
Total drug cost
$38K
Distinct drugs
7
Brand share
1.3%
Top prescribed drugs
Famotidine531 claims
Pantoprazole Sodium166 claims
Omeprazole66 claims
Mesalamine29 claims
Sucralfate27 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
960
Unique beneficiaries
—
Total services
997
Distinct HCPCS
12
Medicare payment
$105K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 606 Gastroenterology providers in IL — above median (cohort median 726).
QUALITY · MIPS · 2024
Final MIPS score
77.5
Quality
49.0
Cost
69.4
Improvement activities
40.0
Promoting interop.
95.0
Payment adjustment
0.11%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
20
By payment type
Travel and Lodging$1K
Food and Beverage$809
REFERRAL NETWORK

Where Sushilkumar Tibrewala'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). 73 inbound referrers · 139 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Robin Gallo
Physician Assistant · Herrin, IL
278393
SOUTHERN ILLINOIS HOSPITAL SERVICES146414
HARBAL, KAREN121153
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP106261
NPI 1447234307104221
Justin Hodge
Diagnostic Radiology · Cape Girardeau, MO
86220
Michael Thomas
Diagnostic Radiology · Cape Girardeau, MO
82182
RAKEY, DAVID7697
Jeffrey Parks
Family Practice · Belleville, IL
72272
Frederick Harris
Diagnostic Radiology · Cape Girardeau, MO
69162
MARION HOSPITAL CORPORATION61134
NPI 132612988348137
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SOUTHERN ILLINOIS HOSPITAL SERVICES3881,252
Marion Healthcare Llc
Ambulatory Surgical Center · Marion, IL
384643
Laboratory Corporation Of America
Clinical Laboratory · Los Angeles, CA
315497
KENNEDY, MARK116173
SOUTHERN ILLINOIS HOSPITAL SERVICES113283
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
107220
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP89193
Jacqueline Treschuk-Bahn
Diagnostic Radiology · Cape Girardeau, MO
83206
Labone Llc
Clinical Laboratory · Lenexa, KS
79148
Matthew Bokermann
Diagnostic Radiology · Cape Girardeau, MO
78175
Justin Hodge
Diagnostic Radiology · Cape Girardeau, MO
74159
FAIR, KENT71106
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.