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PROVIDER PROFILE · NPI 1013105816

Shawn NishiM.D.

PRACTICEUTMBSee all providers at this practice →
Internal MedicineGalveston, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
68
Beneficiaries
—
Total drug cost
$26K
Distinct drugs
3
Brand share
100.0%
Top prescribed drugs
Albuterol Sulfate32 claims
Fluticasone/Umeclidin/Vilanter23 claims
Tiotropium Br/Olodaterol Hcl13 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
320
Unique beneficiaries
—
Total services
402
Distinct HCPCS
14
Medicare payment
$34K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,183 Internal Medicine providers in TX — below median (cohort median 673).
QUALITY · MIPS · 2024
Final MIPS score
78.9
Quality
73.4
Cost
78.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.16%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$38K
Payment records
69
By payment type
Education$21K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$12K
Travel and Lodging$3K
Food and Beverage$2K
Gift$14
REFERRAL NETWORK

Where Shawn Nishi'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). 34 inbound referrers · 69 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 1346324605100471
Galveston County Health District
Ambulance Service Provider · Texas City, TX
57180
Tareq Abu Sharifeh
Cardiology · Galveston, TX
51140
Tony Tran
Internal Medicine · Houston, TX
49118
MODI, SHREYAS49132
Wissam Khalife
Advanced Heart Failure and Transplant Cardiology · Galveston, TX
44196
Rafic Berbarie
Cardiology · Dallas, TX
43119
Umamahesh Rangasetty
Interventional Cardiology · Galveston, TX
37124
Syed Gilani
Interventional Cardiology · Galveston, TX
3286
Kimberly Kirschner
Diagnostic Radiology · Galveston, TX
2963
Angelica Robinson
Diagnostic Radiology · San Antonio, TX
2872
Quan Nguyen
Diagnostic Radiology · Houston, TX
2746
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON3431,586
Alexander Duarte
Internal Medicine · Galveston, TX
126327
NPI 134632460580463
Ramadass Satya
Diagnostic Radiology · Fort Worth, TX
69207
Galveston County Health District
Ambulance Service Provider · Texas City, TX
62166
Siva Bodagala
Diagnostic Radiology · Edina, MN
59221
Vincent Valentine
Pulmonary Disease · Baton Rouge, LA
58150
Mohamed Morsy
Cardiology · Charlottesville, VA
52121
Masood Ahmad
Cardiology · Galveston, TX
5189
Tony Tran
Internal Medicine · Houston, TX
50112
Shiwan Shah
Internal Medicine · Galveston, TX
49184
Gregory Wolfe
Diagnostic Radiology · Eden Prairie, MN
48123
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.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450018
Hospital