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PROVIDER PROFILE · NPI 1912973033

Pragnesh PatelMD

Allergy/ ImmunologyAltamonte Springs, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
52.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$18K
Payment records
176
By payment type
Consulting Fee$13K
Food and Beverage$3K
Travel and Lodging$930
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$660
Education$115
Top paying entities
Consulting Fee$13K
Food and Beverage$3K
Travel and Lodging$930
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$660
Education$115
PRESCRIBING · PART D · 2024
Total Rx claims
1,453
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
24
Brand share
48.6%
Top prescribed drugs
Fluticasone Propionate215 claims
Montelukast Sodium179 claims
Levocetirizine Dihydrochloride136 claims
Albuterol Sulfate134 claims
Fluticasone/Umeclidin/Vilanter116 claims
REFERRAL NETWORK

Where Pragnesh 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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ADVENTIST HEALTH SYSTEM-SUNBELT, INC61189
Jose Arias Jr.
Internal Medicine · Altamonte Springs, FL
3995
SOUTH LAKE HOSPITAL, INC.3095
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
30104
ORLANDO HEALTH CENTRAL, INC.29143
ORLANDO HEALTH, INC.26133
VISTA CLINICAL DIAGNOSTICS LLC1377
Clermont Radiology Llc
Independent Diagnostic Testing Facility (IDTF) · Clermont, FL
1329
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,022
Unique beneficiaries
—
Total services
22,921
Distinct HCPCS
14
Medicare payment
$489K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 196 Allergy/ Immunology providers in FL — top quintile (cohort median 5,512).