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PROVIDER PROFILE · NPI 1568788099

Sushil PandeyMD

Colorectal Surgery (Proctology)Surprise, AZI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Sushil Pandey'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SUN CITY WEST SURGERY CENTER, LLC93156
Inform Diagnostics, Inc.
Clinical Laboratory · Coppell, TX
4775
Thinh Le
Anesthesiology · Surprise, AZ
2231
Bradley Mullen
Diagnostic Radiology · Glendale, AZ
1845
NPI 13169924071754
Samuel Braff
Diagnostic Radiology · Phoenix, AZ
1637
COMMUNITY HOSPITAL ASSOCIATION, INC.1521
CHARNEY, ALBERT1540
Zifa Wang
Interventional Radiology · Glendale, AZ
1531
Parthiban Ramachandran
Diagnostic Radiology · Glendale, AZ
1525
Nestor Nazareno
Internal Medicine · Surprise, AZ
1431
Thomas Ruhlen
Pathology · Sun City West, AZ
1221
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
194
Beneficiaries
—
Total drug cost
$526
Distinct drugs
3
Brand share
16.5%
Top prescribed drugs
Levofloxacin82 claims
Metronidazole80 claims
Hydrocodone/Acetaminophen32 claims
QUALITY · MIPS · 2024
Final MIPS score
94.9
Quality
6.7
Cost
77.3
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.84%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$13K
Payment records
22
By payment type
Education$12K
Food and Beverage$1K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,346
Unique beneficiaries
—
Total services
1,715
Distinct HCPCS
14
Medicare payment
$201K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 44 Colorectal Surgery (Proctology) providers in AZ — top quintile (cohort median 435).