PROVIDER PROFILE · NPI 1619193844

Prateek GandigaMD

RheumatologyAtlanta, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

195

Unique beneficiaries

—

Total services

327

Distinct HCPCS

Medicare payment

$36K

Peer benchmark

Total Medicare services vs. 137 Rheumatology providers in GA — bottom quintile (cohort median 4,650).

PRESCRIBING · PART D · 2024

Total Rx claims

1,263

Beneficiaries

—

Total drug cost

$2.2M

Distinct drugs

Brand share

31.7%

Top prescribed drugs

Hydroxychloroquine Sulfate208 claims

Methotrexate Sodium181 claims

Prednisone148 claims

Azathioprine115 claims

Duloxetine Hcl97 claims

QUALITY · MIPS · 2024

Final MIPS score

94.5

Quality

80.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.82%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$106

Payment records

By payment type

Food and Beverage$106

Top paying entities

Food and Beverage$106

REFERRAL NETWORK

Where Prateek Gandiga'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). 18 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MEDSTAR - GEORGETOWN MEDICAL CENTER, INC.	85	256
Monvadi Srichai-Parsia Cardiology · New York, NY	29	75
Mary Cormier Diagnostic Radiology · Washington, DC	28	84
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC	25	44
Debralee Frederick Internal Medicine · Washington, DC	25	99
VARGAS, JOSE	24	68
Alexander Somwaru Diagnostic Radiology · Washington, DC	24	56
Pranay Krishnan Diagnostic Radiology · Durham, NC	23	50
Janice Jeon Diagnostic Radiology · Baltimore, MD	21	44
LEVY, ANGELA	17	27
Nicole Lewis Diagnostic Radiology · Laguna Hills, CA	15	27
Carolina Valdiviezo Schlomp Cardiology · Baltimore, MD	14	30

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