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PROVIDER PROFILE · NPI 1669473963

Gopal BhalalaMD

PRACTICEGOPAL N. BHALALA, M.D..LLCSee all providers at this practice →
Internal MedicineZion, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$5K
Payment records
244
By payment type
Food and Beverage$5K
Education$9
PRESCRIBING · PART D · 2024
Total Rx claims
7,292
Beneficiaries
—
Total drug cost
$734K
Distinct drugs
128
Brand share
24.8%
Top prescribed drugs
Hydrocodone/Acetaminophen470 claims
Atorvastatin Calcium382 claims
Alprazolam237 claims
Omeprazole226 claims
Gabapentin217 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
830
Unique beneficiaries
—
Total services
2,152
Distinct HCPCS
13
Medicare payment
$131K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,790 Internal Medicine providers in IL — top quintile (cohort median 760).
REFERRAL NETWORK

Where Gopal Bhalala'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). 29 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Medstar Laboratory, Inc
Clinical Laboratory · Hillside, IL
277866
Nimesh Patel
Diagnostic Radiology · Naperville, IL
3666
Robert Dickstein
Diagnostic Radiology · Waukegan, IL
33210
PARKINSON, ROBERT3256
Isaac Thomas
Cardiology · Gurnee, IL
30160
City Of Zion
Ambulance Service Provider · Zion, IL
2689
ADVOCATE CONDELL MEDICAL CENTER2367
Superior Air-Ground Ambulance Service, Inc
Ambulance Service Provider · Elmhurst, IL
23372
Pankaj Vashi
Gastroenterology · Zion, IL
1935
Narendrakumar Kapadia
Internal Medicine · Gurnee, IL
18393
LIN, KANG-YANN17217
Lavanya Srinivasan
Pulmonary Disease · Fort Worth, TX
17130
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.