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PROVIDER PROFILE · NPI 1457367898

Raju VoraMD

PRACTICEARH MARY BRECKINRIDGE HEALTH SERVICES, INC.See all providers at this practice →
GastroenterologyBarbourville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
60
Unique beneficiaries
—
Total services
61
Distinct HCPCS
3
Medicare payment
$5K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 167 Gastroenterology providers in KY — bottom quintile (cohort median 658).
QUALITY · MIPS · 2024
Final MIPS score
83.6
Quality
50.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.36%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
38
Beneficiaries
—
Total drug cost
$208
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Famotidine22 claims
Spironolactone16 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$129
Payment records
8
By payment type
Food and Beverage$129
REFERRAL NETWORK

Where Raju Vora'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). 48 inbound referrers · 93 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
KNOX HOSPITAL CORPORATION4664,650
Aruna Polsani
Diagnostic Radiology · Saint Johns, FL
121421
James West
Family Practice · Barbourville, KY
105678
Tejal Lalaji
Diagnostic Radiology · Atlanta, GA
94331
Knox County Ambulance Service
Ambulance Service Provider · Barbourville, KY
94628
Sankar Lakshman
Diagnostic Radiology · Pineville, KY
93392
Richard Lozano
Pathology · Lexington, KY
82256
Brent Barrett
Certified Registered Nurse Anesthetist (CRNA) · Charleston, SC
67260
Larry Warren
Emergency Medicine · Hyden, KY
65322
APPALACHIAN REGIONAL HEALTHCARE, INC.61468
LYNN, DENNIS61390
Velupillai Wignakumar
General Surgery · Barbourville, KY
53393
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
KNOX HOSPITAL CORPORATION3282,793
MARINO, PHILIP208804
Melanie Chesnut
Nurse Practitioner · Barbourville, KY
1971,380
Anantha Krishna
Cardiology · Corbin, KY
1801,146
PINEVILLE COMMUNITY HOSPITAL ASSN INC.1651,203
Aruna Polsani
Diagnostic Radiology · Saint Johns, FL
115435
Anand Lalaji
Diagnostic Radiology · Atlanta, GA
115466
James West
Family Practice · Barbourville, KY
103593
APPALACHIAN REGIONAL HEALTHCARE, INC.991,019
BAPTIST HEALTHCARE SYSTEM, INC94457
Knox County Ambulance Service
Ambulance Service Provider · Barbourville, KY
80608
Tejal Lalaji
Diagnostic Radiology · Atlanta, GA
75286
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.