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PROVIDER PROFILE · NPI 1649287012

Pawan GuptaMD

NephrologyAltoona, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
85.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$601
Payment records
22
By payment type
Food and Beverage$601
PRESCRIBING · PART D · 2024
Total Rx claims
1,085
Beneficiaries
—
Total drug cost
$146K
Distinct drugs
23
Brand share
12.2%
Top prescribed drugs
Losartan Potassium247 claims
Lisinopril137 claims
Furosemide89 claims
Calcitriol67 claims
Amlodipine Besylate60 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
290
Unique beneficiaries
—
Total services
510
Distinct HCPCS
6
Medicare payment
$56K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 452 Nephrology providers in PA — below median (cohort median 1,017).
REFERRAL NETWORK

Where Pawan Gupta'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). 45 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
David Rose
Diagnostic Radiology · Altoona, PA
79884
Altoona Logan Twp Mobile Med Emerg Dept Authority
Ambulance Service Provider · Altoona, PA
731,197
Richard Wertz
Diagnostic Radiology · Altoona, PA
58804
Angel Raposas
Nephrology · Altoona, PA
46475
Esiri Karunaratne
Diagnostic Radiology · Altoona, PA
44517
USRC ALTOONA LLC401,013
Benjamin Salter
Diagnostic Radiology · Lebanon, NH
39347
SPECTRA LABORATORIES INC35683
Michael Schlechter
Internal Medicine · Altoona, PA
33441
Robert Fine
Emergency Medicine · East Norriton, PA
28279
Ziad Khoury
Cardiology · Altoona, PA
27372
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALTOONA, LLC26119
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.