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PROVIDER PROFILE · NPI 1568465854

Pradeep PradhanMD

Internal MedicineDanville, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,865
Unique beneficiaries
—
Total services
7,648
Distinct HCPCS
32
Medicare payment
$240K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,091 Internal Medicine providers in VA — top quintile (cohort median 769).
REFERRAL NETWORK

Where Pradeep Pradhan'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). 34 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DANVILLE REGIONAL MEDICAL CENTER, LLC127470
Diane Blair
Nurse Practitioner · Danville, VA
93153
IBARRA, MARIA67134
ALBA, GREGORY6393
Vinitkumar Jalandhara
Family Practice · Danville, VA
5398
Robert Hoffert
Physician Assistant · Danville, VA
4468
PETROZZO, PAUL41123
James Alig
Physician Assistant · North Chesterfield, VA
3348
O NEILL, THOMAS33223
Kimberly Bird
Pulmonary Disease · Danville, VA
29120
Gary Miller
Cardiology · Danville, VA
27104
Boshra Zakhary
Cardiology · Danville, VA
26101
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.
PRESCRIBING · PART D · 2024
Total Rx claims
12,503
Beneficiaries
—
Total drug cost
$1.0M
Distinct drugs
145
Brand share
18.6%
Top prescribed drugs
Atorvastatin Calcium952 claims
Amlodipine Besylate685 claims
Metoprolol Succinate397 claims
Lisinopril390 claims
Metformin Hcl387 claims
QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
83.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.