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PROVIDER PROFILE · NPI 1497738876

Prashant PandyaMD

Internal MedicineWest Orange, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.2
Quality
71.6
Cost
76.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.43%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$318
Payment records
18
By payment type
Food and Beverage$318
PRESCRIBING · PART D · 2024
Total Rx claims
6,211
Beneficiaries
—
Total drug cost
$382K
Distinct drugs
113
Brand share
21.0%
Top prescribed drugs
Atorvastatin Calcium555 claims
Amlodipine Besylate434 claims
Rosuvastatin Calcium403 claims
Levothyroxine Sodium254 claims
Olmesartan Medoxomil234 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,649
Unique beneficiaries
—
Total services
2,350
Distinct HCPCS
13
Medicare payment
$147K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,616 Internal Medicine providers in NJ — top quintile (cohort median 895).
REFERRAL NETWORK

Where Prashant Pandya'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). 8 inbound referrers · 21 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
AHS HOSPITAL CORP.213499
Cooperman Barnabas Medical Center Inc
Medicare Diabetes Preventive Program · Livingston, NJ
94219
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
4282
Jon Green
Gastroenterology · West Orange, NJ
2153
Vivek Maheshwari
General Surgery · West Orange, NJ
1349
Rahul Pawar
Diagnostic Radiology · New York, NY
1222
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION1222
Madhavi Pentyala
Internal Medicine · Livingston, NJ
1157
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MEDICAL LABORATORY DIAGNOSTICS, INC.136371
Cooperman Barnabas Medical Center Inc
Medicare Diabetes Preventive Program · Livingston, NJ
76147
Kaushik Modi
Cardiology · West Orange, NJ
68250
Saint Barnabas Outpatient Centers
Independent Diagnostic Testing Facility (IDTF) · Livingston, NJ
65144
Benny Chu
Internal Medicine · West Orange, NJ
62205
AHS HOSPITAL CORP.57108
Daniel Lee
Internal Medicine · West Orange, NJ
38243
Jon Green
Gastroenterology · West Orange, NJ
2473
AHS HOSPITAL CORP.2340
LUTZKER, LETTY1852
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1832
Himanshu Shah
Pulmonary Disease · Millburn, NJ
1557
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.