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PROVIDER PROFILE · NPI 1962629105

Randall Pellish

GastroenterologyBurlington, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
92.0
Quality
76.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.71%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
426
Beneficiaries
—
Total drug cost
$2.2M
Distinct drugs
14
Brand share
54.7%
Top prescribed drugs
Ustekinumab73 claims
Pantoprazole Sodium64 claims
0.9 % Sodium Chloride57 claims
Ringer's Solution,lactated44 claims
Mesalamine34 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
432
Unique beneficiaries
—
Total services
448
Distinct HCPCS
13
Medicare payment
$46K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 483 Gastroenterology providers in MA — below median (cohort median 638).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$145
Payment records
2
By payment type
Food and Beverage$145
REFERRAL NETWORK

Where Randall Pellish'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). 15 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
51293
Jonathan Stein
Anesthesiology · Worcester, MA
2960
Benjamin Hyatt
Gastroenterology · Worcester, MA
2452
DESAI, CHARU2166
Eric Schmidlin
Diagnostic Radiology · Worcester, MA
1939
Agata Boland
Anesthesiology · Worcester, MA
1835
Young Kim
Diagnostic Radiology · Worcester, MA
1632
Vijay Vanguri
Pathology · Worcester, MA
1632
Edwin Aroke
Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL
1529
Maria Kattner
Certified Registered Nurse Anesthetist (CRNA) · Worcester, MA
1431
NPI 11048816711433
HENRY HEYWOOD MEMORIAL HOSPITAL1441
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.