What is Sheldon Chen's specialty?

Sheldon Chen (NPI 1003921495) is a Medicare-billing provider whose primary specialty is Nephrology in Houston, TX.

Where does Sheldon Chen practice?

Sheldon Chen practices in Houston, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1003921495.

How much does Medicare pay Sheldon Chen?

Sheldon Chen (NPI 1003921495) received approximately $94K in total Medicare Part B payments, serving 307 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1003921495

Sheldon ChenM.D.

PRACTICEMDACCSee all providers at this practice →

NephrologyHouston, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

499

Unique beneficiaries

—

Total services

957

Distinct HCPCS

Medicare payment

$90K

Peer benchmark

Total Medicare services vs. 883 Nephrology providers in TX — below median (cohort median 1,432).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$83

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Allopurinol13 claims

QUALITY · MIPS · 2024

Final MIPS score

84.3

Quality

70.8

Cost

67.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.39%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$361

Payment records

By payment type

Food and Beverage$316

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$45

Top paying entities

Food and Beverage$316

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$45

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450076

Hospital

REFERRAL NETWORK

Where Sheldon Chen'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). 35 inbound referrers · 49 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER	153	801
TARRAND, JEFFREY	46	143
Elie Mouhayar Cardiology · Houston, TX	44	154
Girish Shroff Diagnostic Radiology · Houston, TX	40	186
Kara Thompson Cardiology · Houston, TX	37	122
Peter Kim Cardiology · Houston, TX	35	102
Ala Abudayyeh Nephrology · Houston, TX	32	113
Sonia Betancourt Cuellar Diagnostic Radiology · Houston, TX	29	97
Kaveh Karimzad Cardiology · Houston, TX	27	109
Cezar Iliescu Cardiology · Houston, TX	27	114
Mylene Truong Diagnostic Radiology · Houston, TX	25	114
William Murphy Diagnostic Radiology · Houston, TX	24	72

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER	106	449
Amit Lahoti Nephrology · Houston, TX	46	362
Ala Abudayyeh Nephrology · Houston, TX	41	77
TARRAND, JEFFREY	28	70
Girish Shroff Diagnostic Radiology · Houston, TX	26	86
Carol Wu Diagnostic Radiology · Houston, TX	25	103
Elie Mouhayar Cardiology · Houston, TX	24	71
Jose Banchs Cardiology · Aurora, CO	24	53
Syed Yusuf Cardiology · Houston, TX	23	48
Sonia Betancourt Cuellar Diagnostic Radiology · Houston, TX	23	91
Patricia De Groot Diagnostic Radiology · Houston, TX	22	101
Kara Thompson Cardiology · Houston, TX	22	80

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