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PROVIDER PROFILE · NPI 1992742944

Diane KaralekasM.D.

OphthalmologyMarlborough, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
70.0
Quality
40.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-0.60%
Individual
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,518
Unique beneficiaries
—
Total services
2,733
Distinct HCPCS
15
Medicare payment
$165K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 558 Ophthalmology providers in MA — above median (cohort median 1,976).
REFERRAL NETWORK

Where Diane Karalekas'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). 17 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MARLBOROUGH HOSPITAL CORP182335
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
122245
Lalita Matta
Internal Medicine · Marlborough, MA
2744
Andrew Cocchiarella
Anesthesiology · Worcester, MA
2350
Jose Flores Cardillo
Internal Medicine · Marlborough, MA
2151
Michele Goh
Internal Medicine · Hudson, MA
2040
Jaclyn Vonbleicken
Certified Registered Nurse Anesthetist (CRNA) · Worcester, MA
2038
Connie Drexler
Internal Medicine · Northborough, MA
1628
Mohamed Zaki Refaat
Cardiology · Fort Collins, CO
1522
Vinay Kumar
Internal Medicine · Marlborough, MA
1533
Judson Siegel
Podiatry · Marlborough, MA
1417
Clifford Risk
Pulmonary Disease · Marlborough, MA
1488
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.
PRESCRIBING · PART D · 2024
Total Rx claims
1,653
Beneficiaries
—
Total drug cost
$119K
Distinct drugs
18
Brand share
19.2%
Top prescribed drugs
Latanoprost720 claims
Dorzolamide Hcl/Timolol Maleat205 claims
Timolol Maleate166 claims
Brimonidine Tartrate160 claims
Dorzolamide Hcl81 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.