PROVIDER PROFILE · NPI 1578742888

Lily KaoMD

PRACTICEEVERGREEN MEDICAL GROUP, INC.See all providers at this practice →

RheumatologySan Jose, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

700

Unique beneficiaries

—

Total services

3,169

Distinct HCPCS

Medicare payment

$94K

Peer benchmark

Total Medicare services vs. 530 Rheumatology providers in CA — above median (cohort median 1,833).

PRESCRIBING · PART D · 2024

Total Rx claims

2,693

Beneficiaries

—

Total drug cost

$3.8M

Distinct drugs

Brand share

49.5%

Top prescribed drugs

Methotrexate Sodium618 claims

Hydroxychloroquine Sulfate227 claims

Alendronate Sodium184 claims

Leflunomide149 claims

Prednisone101 claims

QUALITY · MIPS · 2024

Final MIPS score

28.9

Quality

0.0

Cost

96.4

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-5.53%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$3K

Payment records

173

By payment type

Food and Beverage$3K

Education$19

Top paying entities

Food and Beverage$3K

Education$19

REFERRAL NETWORK

Where Lily Kao'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). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WEST COAST CLINICAL LABORATORIES, INC.	69	152
SAN JOSE HEALTHCARE SYSTEM, L.P.	21	38
NPI 1447682380	21	32

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