What is Ajay Goel's specialty?

Ajay Goel (NPI 1538159405) is a Medicare-billing provider whose primary specialty is Gastroenterology in Rome, NY.

Where does Ajay Goel practice?

Ajay Goel practices in Rome, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1538159405.

How much does Medicare pay Ajay Goel?

Ajay Goel (NPI 1538159405) received approximately $121K in total Medicare Part B payments, serving 683 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1538159405

Ajay GoelMD

PRACTICEAJAY GOEL PHYSICIAN PCSee all providers at this practice →

GastroenterologyRome, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,250

Unique beneficiaries

—

Total services

1,416

Distinct HCPCS

Medicare payment

$113K

Peer benchmark

Total Medicare services vs. 1,360 Gastroenterology providers in NY — top quintile (cohort median 521).

PRESCRIBING · PART D · 2024

Total Rx claims

705

Beneficiaries

—

Total drug cost

$25K

Distinct drugs

Brand share

11.2%

Top prescribed drugs

Famotidine326 claims

Omeprazole144 claims

Pantoprazole Sodium111 claims

Sucralfate45 claims

Peg3350/Sod Sulf,bicarb,cl/Kcl30 claims

QUALITY · MIPS · 2024

Final MIPS score

83.3

Quality

84.6

Cost

64.7

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.35%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

Education$21

Top paying entities

Food and Beverage$1K

Education$21

REFERRAL NETWORK

Where Ajay Goel'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). 40 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ROME MEMORIAL HOSPITAL, INC.	588	2,847
CENTREX CLINICAL LABORATORIES INC	331	1,478
Amcare Ambulance Service Inc. Ambulance Service Provider · Rome, NY	79	244
BURGREEN, LAWRENCE	74	216
WELLENSTEIN, DAVID	54	124
Thomas Mathew Cardiology · New Hartford, NY	42	109
Gordon Archibald Diagnostic Radiology · Eden Prairie, MN	41	141
STERNICK, ANDREW	37	105
FEMIA, JOSEPH	37	63
Emmanuel Nebab Anesthesiology · Rome, NY	37	109
Nancy Shaheen Diagnostic Radiology · New Hartford, NY	36	109
Brian Alessi Internal Medicine · Rome, NY	34	125

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history