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

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