What is Prashant Pandya's specialty?

Prashant Pandya (NPI 1497738876) is a Medicare-billing provider whose primary specialty is Internal Medicine in West Orange, NJ.

Where does Prashant Pandya practice?

Prashant Pandya practices in West Orange, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1497738876.

How much does Medicare pay Prashant Pandya?

Prashant Pandya (NPI 1497738876) received approximately $152K in total Medicare Part B payments, serving 354 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1497738876

Prashant PandyaMD

Internal MedicineWest Orange, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,649

Unique beneficiaries

—

Total services

2,350

Distinct HCPCS

Medicare payment

$147K

Peer benchmark

Total Medicare services vs. 3,616 Internal Medicine providers in NJ — top quintile (cohort median 895).

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

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 · 2025

Total received

$522

Payment records

By payment type

Food and Beverage$522

Top paying entities

Food and Beverage$522

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

Physician	Patients	Visits
AHS HOSPITAL CORP.	213	499
Cooperman Barnabas Medical Center Inc Medicare Diabetes Preventive Program · Livingston, NJ	94	219
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	42	82
Jon Green Gastroenterology · West Orange, NJ	21	53
Vivek Maheshwari General Surgery · West Orange, NJ	13	49
Rahul Pawar Diagnostic Radiology · New York, NY	12	22
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION	12	22
Madhavi Pentyala Internal Medicine · Livingston, NJ	11	57

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MEDICAL LABORATORY DIAGNOSTICS, INC.	136	371
Cooperman Barnabas Medical Center Inc Medicare Diabetes Preventive Program · Livingston, NJ	76	147
Kaushik Modi Cardiology · West Orange, NJ	68	250
Saint Barnabas Outpatient Centers Independent Diagnostic Testing Facility (IDTF) · Livingston, NJ	65	144
Benny Chu Internal Medicine · West Orange, NJ	62	205
AHS HOSPITAL CORP.	57	108
Daniel Lee Internal Medicine · West Orange, NJ	38	243
Jon Green Gastroenterology · West Orange, NJ	24	73
AHS HOSPITAL CORP.	23	40
LUTZKER, LETTY	18	52
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	18	32
Himanshu Shah Pulmonary Disease · Millburn, NJ	15	57

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events