PROVIDER PROFILE · NPI 1487801403

Kiran RaoM.D.

GastroenterologySparta, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,450

Unique beneficiaries

—

Total services

1,941

Distinct HCPCS

Medicare payment

$200K

Peer benchmark

Total Medicare services vs. 544 Gastroenterology providers in NJ — top quintile (cohort median 963).

PRESCRIBING · PART D · 2024

Total Rx claims

2,999

Beneficiaries

—

Total drug cost

$460K

Distinct drugs

Brand share

25.7%

Top prescribed drugs

Pantoprazole Sodium1,169 claims

Omeprazole250 claims

Sucralfate155 claims

Linaclotide138 claims

Dexlansoprazole111 claims

QUALITY · MIPS · 2024

Final MIPS score

78.0

Quality

65.1

Cost

0.0

Improvement activities

40.0

Promoting interop.

85.0

Payment adjustment

0.13%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$9K

Payment records

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$6K

Compensation for serving as faculty or as a speaker for a medical education program$2K

Food and Beverage$464

Travel and Lodging$126

REFERRAL NETWORK

Where Kiran Rao'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). 41 inbound referrers · 82 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	92	206
Ameripath New York Llc Clinical Laboratory · Shelton, CT	77	146
Robert Ranley Diagnostic Radiology · Sparta, NJ	63	143
Shital Shah Diagnostic Radiology · Sparta, NJ	56	124
Vanitha Rodrigues Diagnostic Radiology · Berwyn, PA	54	123
Atlantic Ambulance Corp. Ambulance Service Provider · Livingston, NJ	30	90
CORIO, FREDERICK	28	58
Michael Lindy Gastroenterology · Sparta, NJ	28	95
Alexander Kleiner Anesthesiology · Denville, NJ	24	51
Alfredo Tapia Emergency Medicine · Morristown, NJ	22	46
Samir Shah Pulmonary Disease · Newton, NJ	21	72
Rosario Manalo Infectious Disease · Hillsborough, NJ	21	72

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
AHS HOSPITAL CORP	186	679
Premier Health Associates, Llc Ambulatory Surgical Center · Sparta, NJ	128	272
EXCEL MEDICAL LAB. INC	70	181
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	68	142
Ameripath New York Llc Clinical Laboratory · Shelton, CT	61	74
Hector Cordero Diagnostic Radiology · Sparta, NJ	56	117
Scott Schwarz Cardiology · Newton, NJ	51	144
Matthew Skalla Diagnostic Radiology · Sparta, NJ	42	107
Richard Snellings Diagnostic Radiology · Newark, NJ	42	98
Dianon Systems, Inc Clinical Laboratory · Shelton, CT	40	74
Barry Franklin Diagnostic Radiology · Sparta, NJ	39	82
Atlantic Ambulance Corp. Ambulance Service Provider · Livingston, NJ	37	99

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