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PROVIDER PROFILE · NPI 1891004305

Nirali PatelM.D.

Internal MedicineNational City, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
547
Beneficiaries
—
Total drug cost
$41K
Distinct drugs
23
Brand share
21.6%
Top prescribed drugs
Amlodipine Besylate61 claims
Atorvastatin Calcium54 claims
Carvedilol36 claims
Amoxicillin/Potassium Clav33 claims
Levofloxacin32 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
91.9
Cost
79.3
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
1.05%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,344
Unique beneficiaries
—
Total services
5,269
Distinct HCPCS
9
Medicare payment
$433K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 10,499 Internal Medicine providers in CA — top quintile (cohort median 531).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Nirali 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). 28 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PRIME HEALTHCARE PARADISE VALLEY LLC232629
John Holden
Diagnostic Radiology · Pasadena, CA
159620
Benjamin Orejudos
Diagnostic Radiology · National City, CA
136430
American Medical Response Ambulance Service, Inc.
Ambulance Service Provider · San Diego, CA
53118
Jimi Benson
Internal Medicine · El Cajon, CA
45148
Richard Obler
Family Practice · La Jolla, CA
4082
Tagumpay Sacamay
Nephrology · National City, CA
40250
Dorothy Hairston
Internal Medicine · National City, CA
38161
Ramiz Elias
Internal Medicine · San Diego, CA
38141
Brian Tabila
Critical Care (Intensivists) · National City, CA
2987
Fharak Maa Chip
Nephrology · National City, CA
28113
ROBINSON, JEROME2656
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.