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PROVIDER PROFILE · NPI 1538371901

Pradnya MitrooMD

PRACTICEDIGESTIVE DISEASE CONSULTANTS, A MEDICAL CORPORATIONSee all providers at this practice →
GastroenterologyFresno, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
90.4
Quality
87.0
Cost
78.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.65%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14K
Payment records
52
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$13K
Food and Beverage$1K
PRESCRIBING · PART D · 2024
Total Rx claims
1,704
Beneficiaries
—
Total drug cost
$879K
Distinct drugs
28
Brand share
37.6%
Top prescribed drugs
Omeprazole435 claims
Sodium, Potassium,mag Sulfates253 claims
Amitriptyline Hcl135 claims
Linaclotide132 claims
Famotidine132 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
994
Unique beneficiaries
—
Total services
1,094
Distinct HCPCS
9
Medicare payment
$116K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,398 Gastroenterology providers in CA — above median (cohort median 750).
REFERRAL NETWORK

Where Pradnya Mitroo'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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · West Hills, CA
101217
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER51106
SAINT AGNES MEDICAL CENTER3556
Abel Garcia
Certified Registered Nurse Anesthetist (CRNA) · Clovis, CA
1616
Ronald Thant
Diagnostic Radiology · Chicago, IL
1625
Charles Sohn
Cardiology · Fresno, CA
1526
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER1326
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.