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PROVIDER PROFILE · NPI 1558504704

Ali RafaiMD

Internal MedicineJohnson City, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
380
Beneficiaries
—
Total drug cost
$13K
Distinct drugs
17
Brand share
16.3%
Top prescribed drugs
Rosuvastatin Calcium39 claims
Ondansetron Hcl29 claims
Clopidogrel Bisulfate27 claims
Pantoprazole Sodium27 claims
Metoprolol Tartrate27 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
447
Unique beneficiaries
—
Total services
753
Distinct HCPCS
4
Medicare payment
$57K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,907 Internal Medicine providers in TN — above median (cohort median 791).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Ali Rafai'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). 76 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MOUNTAIN STATES HEALTH ALLIANCE258604
Washington County-Johnson City Emergency Medical Services Inc
Ambulance Service Provider · Johnson City, TN
2191,039
Hadi El Bazouni
Internal Medicine · Johnson City, TN
139601
Perry Jernigan
Diagnostic Radiology · Johnson City, TN
123369
Randy Hoover
Internal Medicine · Johnson City, TN
117429
Lisa Lull
Diagnostic Radiology · Alexandria, VA
114323
Glen Hatcher
Diagnostic Radiology · Johnson City, TN
98251
Avinash Reddy
Diagnostic Radiology · Johnson City, TN
85184
Jose Picaza
Diagnostic Radiology · Johnson City, TN
81210
BAILEY, ASHLEY69188
GUNTER, KELLY58142
Arthur Austin
Diagnostic Radiology · Johnson City, TN
51104
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.