PROVIDER PROFILE · NPI 1790896082

Umesh DalalM.D.

PRACTICEST. LUKE'S PHYSICIAN GROUP, INCSee all providers at this practice →

NephrologyStroudsburg, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

803

Unique beneficiaries

—

Total services

1,987

Distinct HCPCS

Medicare payment

$182K

Peer benchmark

Total Medicare services vs. 452 Nephrology providers in PA — top quintile (cohort median 1,017).

PRESCRIBING · PART D · 2024

Total Rx claims

466

Beneficiaries

—

Total drug cost

$10K

Distinct drugs

Brand share

6.4%

Top prescribed drugs

Amlodipine Besylate67 claims

Calcitriol59 claims

Furosemide52 claims

Lisinopril39 claims

Losartan Potassium30 claims

QUALITY · MIPS · 2024

Final MIPS score

97.1

Quality

82.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.93%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$127

Payment records

By payment type

Food and Beverage$127

REFERRAL NETWORK

Where Umesh Dalal'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). 74 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1285859744	190	1,545
Gordon Fried Cardiology · East Stroudsburg, PA	131	731
Sandro Rodrigues Diagnostic Radiology · East Stroudsburg, PA	130	770
Javed Malik Diagnostic Radiology · East Stroudsburg, PA	130	760
NPI 1023194628	125	649
NPI 1255335535	118	673
ST LUKES HOSPITAL-ANDERSON CAMPUS	117	505
Karthik Sheka Cardiology · East Stroudsburg, PA	106	533
Samer Alkhuja Pulmonary Disease · East Stroudsburg, PA	91	621
Anil Gupta Cardiology · East Stroudsburg, PA	80	344
Khemraj Sedani Pulmonary Disease · E Stroudsburg, PA	74	585
Susheer Gandotra Infectious Disease · East Stroudsburg, PA	71	440

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