PROVIDER PROFILE · NPI 1568529006

Pragnesh PatelM.D.

PRACTICEGENESIS HEART AND VASCULAR ASSOCIATES, PLLCSee all providers at this practice →

CardiologyJefferson City, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,996

Unique beneficiaries

—

Total services

6,240

Distinct HCPCS

Medicare payment

$442K

Peer benchmark

Total Medicare services vs. 374 Cardiology providers in TN — top quintile (cohort median 2,451).

PRESCRIBING · PART D · 2024

Total Rx claims

5,577

Beneficiaries

—

Total drug cost

$1.3M

Distinct drugs

Brand share

45.9%

Top prescribed drugs

Atorvastatin Calcium470 claims

Clopidogrel Bisulfate437 claims

Metoprolol Tartrate413 claims

Rivaroxaban337 claims

Apixaban326 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

0.0

Cost

68.4

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

REFERRAL NETWORK

Where Pragnesh Patel'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). 99 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Morristown Hamblen Emergency Medical Services Ambulance Service Provider · Morristown, TN	220	598
Stephen Brown Diagnostic Radiology · Knoxville, TN	207	465
SOLSTAS LAB PARTNERS GROUP LLC	198	662
Deanna Taylor-Gantte Diagnostic Radiology · Knoxville, TN	146	269
Ernesto Mejia Pulmonary Disease · Morristown, TN	145	515
Geoffrey Laing Diagnostic Radiology · Knoxville, TN	135	237
Celeste Harnden Family Practice · Knoxville, TN	114	246
Paul Cardali Internal Medicine · Morristown, TN	104	268
Charise Johns Emergency Medicine · Gatlinburg, TN	88	170
Steven Sheedlo Family Practice · Jefferson City, TN	85	267
Steven Knight Diagnostic Radiology · Knoxville, TN	85	162
Jamie Rich Internal Medicine · Chiloquin, OR	82	183

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