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PROVIDER PROFILE · NPI 1871584946

Gaurang PatelMD

Internal MedicineDecatur, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
91.0
Quality
72.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.68%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
93
Beneficiaries
—
Total drug cost
$423
Distinct drugs
6
Brand share
29.0%
Top prescribed drugs
Prednisone24 claims
Pantoprazole Sodium18 claims
Hydrocodone/Acetaminophen16 claims
Doxycycline Hyclate13 claims
Cefuroxime Axetil11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
674
Unique beneficiaries
—
Total services
1,099
Distinct HCPCS
7
Medicare payment
$76K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,790 Internal Medicine providers in IL — above median (cohort median 760).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Gaurang 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). 36 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Jeffrey Boorstein
Diagnostic Radiology · Decatur, IL
133414
DECATUR AMBULANCE SERVICE, INC.120352
Adam Zorn
Diagnostic Radiology · Milwaukee, WI
100269
John Waters
Interventional Cardiology · Kearney, NE
83187
Tansel Turgut
Interventional Cardiology · Michigan City, IN
78202
James Brumit
Diagnostic Radiology · Knoxville, TN
58169
Efe Akpoigbe
Hospitalist · Decatur, IL
48121
PAL, VABHAVE44200
Anuradha Kolluru
Cardiology · Federal Way, WA
3897
Edward Leon
Emergency Medicine · Decatur, IL
3884
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER3799
Madhu Jyothinagaram
Cardiology · Fort Wayne, IN
3791
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.