PROVIDER PROFILE · NPI 1760427181

Priti LalMD

PathologyPhiladelphia, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

782

Unique beneficiaries

—

Total services

1,202

Distinct HCPCS

Medicare payment

$70K

Peer benchmark

Total Medicare services vs. 593 Pathology providers in PA — below median (cohort median 1,465).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

84.9

Quality

73.6

Cost

76.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.42%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Priti Lal'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). 46 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Thomas Guzzo Urology · Philadelphia, PA	50	255
Ana Kolansky Diagnostic Radiology · Philadelphia, PA	38	56
Rosita Shah Diagnostic Radiology · Philadelphia, PA	37	56
Lee Goldberg Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA	35	88
Michael Riley Clinical Cardiac Electrophysiology · Philadelphia, PA	31	37
Susan Roth Diagnostic Radiology · Philadelphia, PA	28	37
J. Rame Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA	26	70
Warren Gefter Diagnostic Radiology · Philadelphia, PA	26	31
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	25	58
Joseph Bavaria Cardiac Surgery · Allentown, PA	24	64
Joyce Wald Advanced Heart Failure and Transplant Cardiology · Philadelphia, PA	23	99
Eduardo Mortani Barbosa Diagnostic Radiology · Philadelphia, PA	23	36

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