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PROVIDER PROFILE · NPI 1619965688

Smitha KumarMD

Family PracticeGilroy, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,004
Unique beneficiaries
—
Total services
2,639
Distinct HCPCS
17
Medicare payment
$235K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 8,228 Family Practice providers in CA — top quintile (cohort median 411).
PRESCRIBING · PART D · 2024
Total Rx claims
7,104
Beneficiaries
—
Total drug cost
$902K
Distinct drugs
121
Brand share
22.8%
Top prescribed drugs
Atorvastatin Calcium464 claims
Levothyroxine Sodium437 claims
Losartan Potassium357 claims
Amlodipine Besylate286 claims
Simvastatin214 claims
REFERRAL NETWORK

Where Smitha Kumar'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
SAINT LOUISE REGIONAL HOSPITAL169825
Kyle Yu
Diagnostic Radiology · Tracy, CA
52115
Keith Kwok
Diagnostic Radiology · Tracy, CA
39104
Richard Porzio
Diagnostic Radiology · Tracy, CA
2775
Raghunand Sastry
Ophthalmology · San Jose, CA
2572
Conway Lien
Diagnostic Radiology · Stanford, CA
2561
HAZEL HAWKINS MEMORIAL HOSPITAL2278
Zepure Kouyoumdjian
Neurology · Morgan Hill, CA
1858
Samar Charabaty
Rheumatology · Gilroy, CA
1866
LUCERO, ROGER1744
Cheung Leung
Cardiology · Gilroy, CA
1556
Sha-Nita Brennan
Emergency Medicine · Mc Lean, VA
1435
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.
QUALITY · MIPS · 2024
Final MIPS score
95.2
Quality
90.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.85%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$93
Payment records
4
By payment type
Food and Beverage$93