What is Pragnesh Patel's specialty?

Pragnesh Patel (NPI 1568529006) is a Medicare-billing provider whose primary specialty is Cardiology in Jefferson City, TN.

Where does Pragnesh Patel practice?

Pragnesh Patel practices in Jefferson City, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1568529006.

How much does Medicare pay Pragnesh Patel?

Pragnesh Patel (NPI 1568529006) received approximately $471K in total Medicare Part B payments, serving 995 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events