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PROVIDER PROFILE · NPI 1790985778

Swati RaoM.D.

NephrologyCharlottesville, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
86.5
Quality
79.8
Cost
75.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.48%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,037
Beneficiaries
—
Total drug cost
$205K
Distinct drugs
42
Brand share
15.6%
Top prescribed drugs
Prednisone323 claims
Carvedilol175 claims
Losartan Potassium104 claims
Famotidine100 claims
Nifedipine97 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$161
Payment records
4
By payment type
Education$85
Food and Beverage$76
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
431
Unique beneficiaries
—
Total services
919
Distinct HCPCS
5
Medicare payment
$68K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 218 Nephrology providers in VA — below median (cohort median 1,566).
REFERRAL NETWORK

Where Swati Rao'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
PhysicianPatientsVisits
NPI 115431904480324
Serban Constantinescu
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75653
Scott Simpson
Diagnostic Radiology · Philadelphia, PA
53216
Tejas Patel
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52162
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
47154
SHETTY, ASHWIN45112
D'ORAZIO, EDWARD40145
REINUS, WILLIAM35104
City Of Philadelphia
Ambulance Service Provider · Philadelphia, PA
34105
Joseph Benjamin
Nephrology · Philadelphia, PA
32107
Jean Lee
Nephrology · Philadelphia, PA
2886
Chandra Dass
Diagnostic Radiology · Philadelphia, PA
2760
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.