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PROVIDER PROFILE · NPI 1023137742

Hiral PatelDO

Pulmonary DiseaseBerwyn, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 390100
Hospital
CCN 390111
Hospital
CCN 390127
Hospital
CCN 390179
Hospital
CCN 390223
Hospital
REFERRAL NETWORK

Where Hiral Patel'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). 3 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Rubina Haidar
Pulmonary Disease · Fort Washington, PA
42167
Jorge Arsuaga
Diagnostic Radiology · Sellersville, PA
1114
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
1124
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GRAND VIEW HOSPITAL56153
Rubina Haidar
Pulmonary Disease · Fort Washington, PA
56379
SCHOLL, HARVEY1927
GRAND VIEW HOSPITAL1416
Adeel Azam
Diagnostic Radiology · Philadelphia, PA
1419
David Levin
Diagnostic Radiology · Sellersville, PA
1417
Raymond Kyriakos
Diagnostic Radiology · Sellersville, PA
1318
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
1222
Paul Hermany
Cardiology · Sellersville, PA
1125
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,555
Unique beneficiaries
—
Total services
1,979
Distinct HCPCS
12
Medicare payment
$136K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — top quintile (cohort median 707).
PRESCRIBING · PART D · 2024
Total Rx claims
2,242
Beneficiaries
—
Total drug cost
$607K
Distinct drugs
26
Brand share
65.7%
Top prescribed drugs
Albuterol Sulfate422 claims
Fluticasone/Umeclidin/Vilanter242 claims
Montelukast Sodium225 claims
Prednisone160 claims
Fluticasone/Vilanterol154 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$510
Payment records
5
By payment type
Food and Beverage$510