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PROVIDER PROFILE · NPI 1538159405

Ajay GoelMD

PRACTICEAJAY GOEL PHYSICIAN PCSee all providers at this practice →
GastroenterologyRome, NYI
CROSS-REFERENCE

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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,250
Unique beneficiaries
—
Total services
1,416
Distinct HCPCS
12
Medicare payment
$113K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
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
7
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
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
PhysicianPatientsVisits
ROME MEMORIAL HOSPITAL, INC.5882,847
CENTREX CLINICAL LABORATORIES INC3311,478
Amcare Ambulance Service Inc.
Ambulance Service Provider · Rome, NY
79244
BURGREEN, LAWRENCE74216
WELLENSTEIN, DAVID54124
Thomas Mathew
Cardiology · New Hartford, NY
42109
Gordon Archibald
Diagnostic Radiology · Eden Prairie, MN
41141
STERNICK, ANDREW37105
FEMIA, JOSEPH3763
Emmanuel Nebab
Anesthesiology · Rome, NY
37109
Nancy Shaheen
Diagnostic Radiology · New Hartford, NY
36109
Brian Alessi
Internal Medicine · Rome, NY
34125
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
$1K
Payment records
38
By payment type
Food and Beverage$1K
Education$21