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PROVIDER PROFILE · NPI 1528007143

Raju ModiM.D.

CardiologyParma, OHI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,070
Unique beneficiaries
—
Total services
3,353
Distinct HCPCS
22
Medicare payment
$156K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 724 Cardiology providers in OH — top quintile (cohort median 1,757).
PRESCRIBING · PART D · 2024
Total Rx claims
9,237
Beneficiaries
—
Total drug cost
$1.6M
Distinct drugs
50
Brand share
20.2%
Top prescribed drugs
Atorvastatin Calcium1,389 claims
Metoprolol Succinate907 claims
Rosuvastatin Calcium724 claims
Apixaban540 claims
Amlodipine Besylate533 claims
QUALITY · MIPS · 2024
Final MIPS score
91.2
Quality
82.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.68%
APM Entity
REFERRAL NETWORK

Where Raju Modi'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). 43 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION4902,171
ADER, RICHARD247593
SOUTHWEST GENERAL HEALTH CENTER103245
NPI 131697452074147
James Ramicone
Clinical Cardiac Electrophysiology · Parma, OH
66206
Gerald Burma
Cardiology · Parma, OH
63168
Christine Zirafi
Cardiology · Parma, OH
53116
David Hedrick
Cardiology · Akron, OH
52107
Paul Klatte
Diagnostic Radiology · Cleveland, OH
52118
Gregory Hickey
Pulmonary Disease · Cleveland, OH
41154
Jeffrey Boyko
Vascular Surgery · Parma, OH
3687
John Mansour
Cardiology · Parma, OH
3473
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$643
Payment records
34
By payment type
Food and Beverage$643