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PROVIDER PROFILE · NPI 1841256948

Nirali PatelM.D.

PRACTICESUTTER GOULD MEDICAL FOUNDATIONSee all providers at this practice →
EndocrinologyModesto, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
12,270
Beneficiaries
—
Total drug cost
$4.5M
Distinct drugs
78
Brand share
58.9%
Top prescribed drugs
Empagliflozin1,052 claims
Levothyroxine Sodium874 claims
Semaglutide804 claims
Atorvastatin Calcium528 claims
Insulin Glargine,hum.Rec.Anlog490 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,526
Unique beneficiaries
—
Total services
16,312
Distinct HCPCS
8
Medicare payment
$460K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 633 Endocrinology providers in CA — top quintile (cohort median 1,164).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Nirali Patel'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). 31 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SUTTER GOULD MEDICAL FOUNDATION5313,163
James Summers
Diagnostic Radiology · Modesto, CA
4580
David Li
Diagnostic Radiology · Modesto, CA
4267
SOOD, SURENDRA4068
Brian Wistow
Diagnostic Radiology · Modesto, CA
3850
Youhana Jacobs
Internal Medicine · Modesto, CA
3577
BONDI, TRACY32122
Yee-Hsiang Wang
Diagnostic Radiology · Modesto, CA
3042
Qasim Barra
Diagnostic Radiology · Modesto, CA
2641
DOCTORS MEDICAL CENTER OF MODESTO, INC.2357
Ronak Shah
Nephrology · Modesto, CA
2380
DOCTORS MEDICAL CENTER OF MODESTO, INC.2363
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.