What is Sumit Garg's specialty?

Sumit Garg (NPI 1881878262) is a Medicare-billing provider whose primary specialty is Ophthalmology in Irvine, CA.

Where does Sumit Garg practice?

Sumit Garg practices in Irvine, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1881878262.

How much does Medicare pay Sumit Garg?

Sumit Garg (NPI 1881878262) received approximately $467K in total Medicare Part B payments, serving 1,256 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1881878262

Sumit GargM.D.

OphthalmologyIrvine, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,323

Unique beneficiaries

—

Total services

3,789

Distinct HCPCS

Medicare payment

$432K

Peer benchmark

Total Medicare services vs. 2,144 Ophthalmology providers in CA — above median (cohort median 1,859).

PRESCRIBING · PART D · 2024

Total Rx claims

1,405

Beneficiaries

—

Total drug cost

$239K

Distinct drugs

Brand share

38.9%

Top prescribed drugs

Prednisolone Acetate373 claims

Moxifloxacin Hcl271 claims

Ketorolac Tromethamine236 claims

Cyclosporine93 claims

Lifitegrast71 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

83.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$68K

Payment records

By payment type

Consulting Fee$61K

Food and Beverage$4K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Honoraria$626

Travel and Lodging$14

Top paying entities

Consulting Fee$61K

Food and Beverage$4K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Honoraria$626

Travel and Lodging$14

REFERRAL NETWORK

Where Sumit Garg'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). 19 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	123	599
Jacqueline Ng Ophthalmology · Lake Oswego, OR	50	325
James Cyriac Anesthesiology · Orange, CA	40	195
Byron J Allen Internal Medicine · Orange, CA	36	167
Corey Nelson Anesthesiology · Philadelphia, PA	31	148
Baruch Kuppermann Ophthalmology · Irvine, CA	30	166
Pranav Patel Cardiology · Orange, CA	14	55
Alpesh Amin Internal Medicine · Orange, CA	14	58
HARRIS HISTOLOGY SERVICES	13	28
ST JUDE HOSPITAL INC	13	47
Hiroshi Yoshioka Diagnostic Radiology · Boston, MA	13	31
Leslie Garson Anesthesiology · Santa Fe, NM	13	77

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events