PROVIDER PROFILE · NPI 1821201351

Rajiv RathodMD

OphthalmologySanta Ana, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

5,367

Unique beneficiaries

—

Total services

65,593

Distinct HCPCS

Medicare payment

$4.6M

Peer benchmark

Total Medicare services vs. 2,144 Ophthalmology providers in CA — top quintile (cohort median 1,859).

PRESCRIBING · PART D · 2024

Total Rx claims

1,215

Beneficiaries

—

Total drug cost

$134K

Distinct drugs

Brand share

43.5%

Top prescribed drugs

Prednisolone Acetate236 claims

Dorzolamide Hcl/Timolol Maleat102 claims

Atropine Sulfate95 claims

Latanoprost89 claims

Moxifloxacin Hcl88 claims

QUALITY · MIPS · 2024

Final MIPS score

99.9

Quality

99.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$18K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$15K

Food and Beverage$3K

Travel and Lodging$516

REFERRAL NETWORK

Where Rajiv Rathod'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). 9 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	109	431
SADDLEBACK MEMORIAL MEDICAL CENTER	45	179
ST JUDE HOSPITAL INC	23	46
Sanford Chen Ophthalmology · Santa Ana, CA	19	34
Eugene Chang Ophthalmology · Pasadena, CA	18	38
Pacific Hills Surgery Center Llc Ambulatory Surgical Center · Laguna Hills, CA	18	68
Victor Lee Pathology · Oceanside, CA	15	64
HARRIS HISTOLOGY SERVICES	15	34
Steven Sorenson Diagnostic Radiology · Redlands, CA	12	40

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