PROVIDER PROFILE · NPI 1619946514

Susan CummingsMD

Internal MedicineSan Jose, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$2K

Peer benchmark

Total Medicare services vs. 10,499 Internal Medicine providers in CA — bottom quintile (cohort median 531).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$106K

Distinct drugs

Brand share

83.7%

Top prescribed drugs

Tenofovir Alafenamide53 claims

Pantoprazole Sodium15 claims

Omeprazole Magnesium13 claims

Dexlansoprazole11 claims

QUALITY · MIPS · 2024

Final MIPS score

61.0

Quality

59.4

Cost

71.5

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-1.68%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Susan Cummings'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
COUNTY OF SANTA CLARA	185	1,142
TAGORE, SIMRANJEET	28	41
COUNTY OF SANTA CLARA	23	73
Young Kang Diagnostic Radiology · San Jose, CA	15	42
HUNT BELLAH, ANN MARIE	13	37
Benjamin Chou Diagnostic Radiology · San Jose, CA	12	28
FRAKER, KEITH	12	31
HUANG, YI-CHAO	12	61

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