PROVIDER PROFILE · NPI 1558567875

Jose Avila

NephrologyAllentown, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

897

Unique beneficiaries

—

Total services

1,577

Distinct HCPCS

Medicare payment

$142K

Peer benchmark

Total Medicare services vs. 452 Nephrology providers in PA — top quintile (cohort median 1,017).

PRESCRIBING · PART D · 2024

Total Rx claims

2,594

Beneficiaries

—

Total drug cost

$139K

Distinct drugs

Brand share

8.8%

Top prescribed drugs

Amlodipine Besylate383 claims

Torsemide364 claims

Lisinopril179 claims

Spironolactone168 claims

Losartan Potassium137 claims

QUALITY · MIPS · 2024

Final MIPS score

97.1

Quality

82.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.93%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Jose Avila'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). 114 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST LUKES HOSPITAL-ANDERSON CAMPUS	186	809
ST LUKES HOSPITAL	174	563
Swomya Bal Nephrology · Allentown, PA	147	472
Joseph Jacobs Nephrology · Bethlehem, PA	116	414
PURSELL, ROBERT	96	263
RENAL TREATMENT CENTERS NORTHEAST INC	76	876
Joseph Bucich Diagnostic Radiology · Phillipsburg, NJ	70	201
Sobhan Kodali Cardiology · Bethlehem, PA	70	157
COHEN, KENNETH	66	165
NPI 1255335535	58	398
Dean Tyrell Diagnostic Radiology · Bethlehem, PA	51	97
Jake Marais Cardiology · Bethlehem, PA	49	147

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