PROVIDER PROFILE · NPI 1811042708

Ronald GouldM.D.

GastroenterologySaint Louis, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

215

Unique beneficiaries

—

Total services

219

Distinct HCPCS

Medicare payment

$27K

Peer benchmark

Total Medicare services vs. 294 Gastroenterology providers in MO — bottom quintile (cohort median 585).

PRESCRIBING · PART D · 2024

Total Rx claims

181

Beneficiaries

—

Total drug cost

$15K

Distinct drugs

Brand share

26.0%

Top prescribed drugs

Pantoprazole Sodium108 claims

Budesonide20 claims

Budesonide16 claims

Dicyclomine Hcl13 claims

Omeprazole13 claims

QUALITY · MIPS · 2024

Final MIPS score

74.8

Quality

55.0

Cost

73.4

Improvement activities

40.0

Promoting interop.

85.0

Payment adjustment

-0.03%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$415

Payment records

By payment type

Food and Beverage$415

REFERRAL NETWORK

Where Ronald Gould'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). 27 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC	126	461
ANDERSON HOSPITAL	120	407
Christopher Murphy Pathology · Belleville, IL	40	104
FREDERICKSON, NEIL	37	132
David Huyette Diagnostic Radiology · Alton, IL	29	121
Piotr Kulikowski Internal Medicine · Saint Louis, MO	25	198
Prasanna Kumar Internal Medicine · Granite City, IL	20	46
MISSOURI BAPTIST MEDICAL CENTER	20	63
Kelby Napier Diagnostic Radiology · Saint Louis, MO	18	112
Melanie Garland Certified Registered Nurse Anesthetist (CRNA) · Maryville, IL	18	44
Jose Perez Porcel Hospitalist · Chicago, IL	18	93
Mohammed Ashraf Family Practice · Hillsboro, MO	17	93

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