What is Robert Koval's specialty?

Robert Koval (NPI 1659427334) is a Medicare-billing provider whose primary specialty is Rheumatology in Austin, TX.

Where does Robert Koval practice?

Robert Koval practices in Austin, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1659427334.

How much does Medicare pay Robert Koval?

Robert Koval (NPI 1659427334) received approximately $2.1M in total Medicare Part B payments, serving 537 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1659427334

Robert KovalMD

RheumatologyAustin, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,566

Unique beneficiaries

—

Total services

145,454

Distinct HCPCS

Medicare payment

$1.3M

Peer benchmark

Total Medicare services vs. 382 Rheumatology providers in TX — top quintile (cohort median 13,742).

PRESCRIBING · PART D · 2024

Total Rx claims

3,367

Beneficiaries

—

Total drug cost

$3.7M

Distinct drugs

Brand share

30.6%

Top prescribed drugs

Prednisone497 claims

Methotrexate Sodium468 claims

Hydroxychloroquine Sulfate365 claims

Tramadol Hcl174 claims

Gabapentin138 claims

QUALITY · MIPS · 2024

Final MIPS score

94.3

Quality

89.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.81%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$46K

Payment records

275

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$35K

Food and Beverage$5K

Travel and Lodging$4K

Consulting Fee$840

Education$55

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$35K

Food and Beverage$5K

Travel and Lodging$4K

Consulting Fee$840

Education$55

REFERRAL NETWORK

Where Robert Koval'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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	238	799
C. Wiseman Diagnostic Radiology · Austin, TX	15	31
CEDAR PARK HEALTH SYSTEM LP	13	21
Aubrey Hartmann Dermatology · Cedar Park, TX	12	24

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