PROVIDER PROFILE · NPI 1902062862

Priya KumaraguruM.D.

PRACTICESAINT ANTHONY'S PHYSICIAN GROUPSee all providers at this practice →

Family PracticeAlton, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

120

Distinct HCPCS

Medicare payment

$7K

Peer benchmark

Total Medicare services vs. 3,221 Family Practice providers in IL — bottom quintile (cohort median 556).

PRESCRIBING · PART D · 2024

Total Rx claims

3,275

Beneficiaries

—

Total drug cost

$228K

Distinct drugs

Brand share

15.9%

Top prescribed drugs

Atorvastatin Calcium315 claims

Levothyroxine Sodium208 claims

Lisinopril157 claims

Amlodipine Besylate131 claims

Simvastatin116 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$36

Payment records

By payment type

Food and Beverage$36

REFERRAL NETWORK

Where Priya Kumaraguru'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

Physician	Patients	Visits
ALTON MEMORIAL HOSPITAL	49	154
ANDERSON HOSPITAL	46	71
WHITWORTH, PATRICIA	39	61
Raymond Lee Diagnostic Radiology · Springfield, IL	35	60
Rama Gondi Cardiology · Saint Louis, MO	35	102
CHEN, WEN	30	64
HANKO, RODGER	28	98
Nicholas Hilpipre Diagnostic Radiology · Clive, IA	27	50
John Lindsay Podiatry · Alton, IL	26	109
Willie Brown Podiatry · Belleville, IL	23	44
Ibrahim Elayyan Internal Medicine · Alton, IL	20	108
Brandon Wynn Diagnostic Radiology · Evansville, IN	18	41

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