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PROVIDER PROFILE · NPI 1508031758

Niranjan ShresthaM.D., FAAFP

Family PracticeCentralia, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
83.1
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
18,160
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
190
Brand share
23.0%
Top prescribed drugs
Atorvastatin Calcium1,314 claims
Omeprazole898 claims
Levothyroxine Sodium685 claims
Gabapentin489 claims
Sertraline Hcl469 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
481
Unique beneficiaries
—
Total services
1,401
Distinct HCPCS
6
Medicare payment
$107K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,221 Family Practice providers in IL — top quintile (cohort median 556).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$710
Payment records
34
By payment type
Food and Beverage$710
REFERRAL NETWORK

Where Niranjan Shrestha'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). 37 inbound referrers · 68 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS3474,585
Neetin Patel
Diagnostic Radiology · Mount Vernon, IL
1721,334
Paul Edwards
Cardiology · Centralia, IL
110824
Rajendra Shroff
Internal Medicine · Centralia, IL
89453
Miguel Gelman
Diagnostic Radiology · Saint Louis, MO
73314
Lifestar Ambulance Service,inc.
Ambulance Service Provider · Centralia, IL
72451
Aziz Rahman
Pulmonary Disease · Centralia, IL
64460
QUINN, KENT61342
SODD, ANTHONY60243
Balavittal Varanasi
Family Practice · Centralia, IL
59436
Prashanth Shekar
Diagnostic Radiology · Springfield, IL
58308
Stephen Ang
Gastroenterology · Centralia, IL
57357
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS2773,240
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
1921,018
Neetin Patel
Diagnostic Radiology · Mount Vernon, IL
1581,174
Timothy Carmody
Diagnostic Radiology · Santa Monica, CA
130746
Paul Edwards
Cardiology · Centralia, IL
108759
Rajendra Shroff
Internal Medicine · Centralia, IL
80367
Sajjan Nemani
Neurology · Maryville, IL
66499
Naeem Khan
Cardiology · Centralia, IL
66566
Clarence Reilly
Diagnostic Radiology · Springfield, IL
62270
Miguel Gelman
Diagnostic Radiology · Saint Louis, MO
61279
QUINN, KENT60351
Stephen Ang
Gastroenterology · Centralia, IL
60347
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.