PROVIDER PROFILE · NPI 1861519563

Pavan GuptaMD

CardiologyO Fallon, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,122

Unique beneficiaries

—

Total services

4,058

Distinct HCPCS

Medicare payment

$185K

Peer benchmark

Total Medicare services vs. 686 Cardiology providers in IL — above median (cohort median 2,422).

PRESCRIBING · PART D · 2024

Total Rx claims

7,560

Beneficiaries

—

Total drug cost

$946K

Distinct drugs

Brand share

22.6%

Top prescribed drugs

Atorvastatin Calcium665 claims

Metoprolol Succinate562 claims

Amlodipine Besylate481 claims

Apixaban463 claims

Spironolactone461 claims

QUALITY · MIPS · 2024

Final MIPS score

94.8

Quality

86.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.83%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$32

Payment records

By payment type

Food and Beverage$32

REFERRAL NETWORK

Where Pavan Gupta'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). 121 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	414	2,581
Medstar Ambulance Inc Ambulance Service Provider · Sparta, IL	167	306
SODD, ANTHONY	158	390
Girish Mood Interventional Cardiology · Belleville, IL	153	353
LAL, ROOP	150	283
David Nyquist Hospitalist · Belleville, IL	150	1,136
Regina Chiu Cardiology · O Fallon, IL	135	315
James Farn Diagnostic Radiology · Springfield, IL	124	181
HOLDENER, GREGORY	124	229
Atul Shah Cardiology · O Fallon, IL	123	373
DUMONTIER, CHARLES	119	202
Shiyam Satwani Interventional Cardiology · O Fallon, IL	115	332

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