PROVIDER PROFILE · NPI 1639335839

Avni KapadiaMD

PRACTICEDIAGNOSTIC PATHOLOGY SERV PCSee all providers at this practice →

Internal MedicineChattanooga, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

526

Unique beneficiaries

—

Total services

821

Distinct HCPCS

Medicare payment

$67K

Peer benchmark

Total Medicare services vs. 1,907 Internal Medicine providers in TN — above median (cohort median 791).

PRESCRIBING · PART D · 2024

Total Rx claims

289

Beneficiaries

—

Total drug cost

$9K

Distinct drugs

Brand share

28.7%

Top prescribed drugs

Pantoprazole Sodium41 claims

Furosemide33 claims

Amlodipine Besylate30 claims

Cefuroxime Axetil30 claims

Prednisone26 claims

QUALITY · MIPS · 2024

Final MIPS score

94.3

Quality

92.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

93.2

Payment adjustment

0.81%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Avni Kapadia'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). 25 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MEMORIAL HEALTH CARE SYSTEM INC.	344	1,279
Kilton Kingsman Diagnostic Radiology · Chattanooga, TN	175	927
MEMORIAL HEALTH CARE SYSTEM INC.	127	458
Young Chang Internal Medicine · Hixson, TN	99	353
County Of Hamilton Ambulance Service Provider · Chattanooga, TN	96	328
Jonathan Reinschmidt Emergency Medicine · Chattanooga, TN	77	299
Theresa Pollard Internal Medicine · Chattanooga, TN	67	211
George Watson Diagnostic Radiology · Chattanooga, TN	51	209
RIMER, THOMAS	42	176
HENDRICKS, PAUL	40	123
James Marcum Cardiology · Cleveland, TN	39	103
William Rowlett Diagnostic Radiology · Chattanooga, TN	37	133

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