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PROVIDER PROFILE · NPI 1538267778

Kumara PrathipatiM.D.

Internal MedicineNational City, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
45
Unique beneficiaries
—
Total services
50
Distinct HCPCS
2
Medicare payment
$5K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 10,499 Internal Medicine providers in CA — bottom quintile (cohort median 531).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
4,104
Beneficiaries
—
Total drug cost
$216K
Distinct drugs
72
Brand share
9.2%
Top prescribed drugs
Amlodipine Besylate413 claims
Atorvastatin Calcium391 claims
Losartan Potassium315 claims
Metformin Hcl290 claims
Hydralazine Hcl184 claims
REFERRAL NETWORK

Where Kumara Prathipati'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). 9 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SHARP CHULA VISTA MEDICAL CENTER94262
Lakshmi Prathipati
Internal Medicine · San Diego, CA
82203
Joseph Hortillosa
Physician Assistant · San Diego, CA
4056
PRIME HEALTHCARE PARADISE VALLEY LLC40119
ALVARADO HOSPITAL, LLC2679
John Holden
Diagnostic Radiology · Pasadena, CA
2479
American Medical Response Ambulance Service, Inc.
Ambulance Service Provider · San Diego, CA
1566
Unilab Corporation
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1320
John Lubisich
Diagnostic Radiology · San Diego, CA
1235
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
No data available for this provider in 2024.