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PROVIDER PROFILE · NPI 1861657488

Nilay GandhiMD

PRACTICEPOTOMAC UROLOGY CENTER, P.C.See all providers at this practice →
UrologyWoodbridge, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
78.6
Quality
53.2
Cost
76.4
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.15%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
663
Beneficiaries
—
Total drug cost
$1.1M
Distinct drugs
12
Brand share
43.7%
Top prescribed drugs
Relugolix154 claims
Tamsulosin Hcl144 claims
Alfuzosin Hcl87 claims
Abiraterone Acetate79 claims
Prednisone52 claims
REFERRAL NETWORK

Where Nilay Gandhi'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). 1 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Edward Wright
Urology · Baltimore, MD
1529
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$28K
Payment records
42
By payment type
Honoraria$9K
Consulting Fee$8K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$5K
Travel and Lodging$4K
Food and Beverage$1K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,905
Unique beneficiaries
—
Total services
96,177
Distinct HCPCS
53
Medicare payment
$573K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 230 Urology providers in VA — top quintile (cohort median 3,372).