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PROVIDER PROFILE · NPI 1881770576

Nirmal BualMD, PA

PRACTICENIRMAL S. BUAL, MD, PASee all providers at this practice →
CardiologyHouston, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Individual
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,604
Unique beneficiaries
—
Total services
7,280
Distinct HCPCS
5
Medicare payment
$547K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,379 Cardiology providers in TX — top quintile (cohort median 2,215).
REFERRAL NETWORK

Where Nirmal Bual'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). 114 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
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108403
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.