PROVIDER PROFILE · NPI 1649200411

Edgar GantalaoM.D.

PRACTICECLEARFIELD-JEFFERSON CMHCSee all providers at this practice →

PsychiatryDu Bois, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

390

Distinct HCPCS

Medicare payment

$26K

Peer benchmark

Total Medicare services vs. 1,042 Psychiatry providers in PA — above median (cohort median 233).

PRESCRIBING · PART D · 2024

Total Rx claims

145

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

12.4%

Top prescribed drugs

Trazodone Hcl26 claims

Risperidone24 claims

Sertraline Hcl22 claims

Quetiapine Fumarate19 claims

Methylphenidate Hcl18 claims

QUALITY · MIPS · 2024

Final MIPS score

96.6

Quality

23.7

Cost

74.8

Improvement activities

40.0

Promoting interop.

96.0

Payment adjustment

0.91%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Edgar Gantalao'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
CRISCITELLO, AMY	150	453
DUBOIS REGIONAL MEDICAL CENTER	116	468
CLEARFIELD HOSPITAL	92	342
FAUST, STEPHANIE	47	387
Donald Conrad Family Practice · Clearfield, PA	17	155
Huma Ansari Psychiatry · Basking Ridge, NJ	16	28
Peter Coffman Psychiatry · Saint Marys, PA	16	37
Satish Amirneni Psychiatry · Clearfield, PA	15	33
Clifford Neal Emergency Medicine · Altoon, PA	14	40
David Obley Diagnostic Radiology · Clearfield, PA	14	16
ELK REGIONAL HEALTH CENTER	13	14
BROOKVILLE HOSPITAL	13	15

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