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PROVIDER PROFILE · NPI 1760618516

Roopika ReddyMD

Pulmonary DiseaseWhomissing, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Roopika Reddy'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). 57 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
TIDALHEALTH NANTICOKE, INC5222,736
Muhammad Athar
Pulmonary Disease · North Chesterfield, VA
149412
Ivan Pena Sing
Cardiology · Easton, MD
116361
NIELSEN, MARVIN101194
Gabriel Sardi
Internal Medicine · Easton, MD
85304
Gerard Hogan
Diagnostic Radiology · Salisbury, MD
77151
Seaford Volunteer Fire Department Inc.
Ambulance Service Provider · Seaford, DE
75126
Simmi Chawla
Diagnostic Radiology · Salisbury, MD
72146
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
69184
Alexander Zito
Diagnostic Radiology · Salisbury, MD
69125
Thomas Riccio
Diagnostic Radiology · Salisbury, MD
57100
Peter Libby
Diagnostic Radiology · Salisbury, MD
56106
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,165
Unique beneficiaries
—
Total services
1,773
Distinct HCPCS
15
Medicare payment
$127K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — top quintile (cohort median 707).
PRESCRIBING · PART D · 2024
Total Rx claims
1,310
Beneficiaries
—
Total drug cost
$2.5M
Distinct drugs
25
Brand share
77.3%
Top prescribed drugs
Albuterol Sulfate206 claims
Fluticasone/Umeclidin/Vilanter182 claims
Fluticasone/Vilanterol151 claims
Montelukast Sodium74 claims
Macitentan60 claims
QUALITY · MIPS · 2024
Final MIPS score
88.1
Quality
77.2
Cost
79.0
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.55%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$561
Payment records
24
By payment type
Food and Beverage$506
Education$55