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PROVIDER PROFILE · NPI 1053327726

Nimesh PatelMD

PRACTICEMALVERN CONSTITUTION LLCSee all providers at this practice →
Internal MedicinePhiladelphia, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 390174
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
170
Unique beneficiaries
—
Total services
364
Distinct HCPCS
4
Medicare payment
$28K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,434 Internal Medicine providers in PA — below median (cohort median 550).
REFERRAL NETWORK

Where Nimesh 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). 18 inbound referrers · 26 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SCCI HOSPITALS OF AMERICA, LLC52140
Mital Sheth
Cardiology · Philadelphia, PA
33138
Brian Fedgchin
Cardiology · Phila, PA
30114
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC29121
Deena Athas
Infectious Disease · La Crosse, WI
27186
Steven Nierenberg
Cardiology · Phila, PA
1989
FALCK NORTHEAST CORP.1857
David Karasick
Diagnostic Radiology · Philadelphia, PA
1872
CIULLO, VALENTINO15132
Frederick Lavan
Plastic and Reconstructive Surgery · Woodbury, NJ
1387
BRODY, JULIA1227
BREZIN, JOSEPH1264
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SCCI HOSPITALS OF AMERICA, LLC48100
Mital Sheth
Cardiology · Philadelphia, PA
39148
Deena Athas
Infectious Disease · La Crosse, WI
37334
Brian Fedgchin
Cardiology · Phila, PA
28122
American Medical Response Mid-Atlantic Inc
Ambulance Service Provider · Washington, DC
27117
Steven Nierenberg
Cardiology · Phila, PA
25158
SELARNICK, HOPE2074
Steven Dimitriou
Nephrology · Philadelphia, PA
1992
FALCK NORTHEAST CORP.1826
Jack Garden
Cardiology · Phila, PA
1866
Ji Young Shin
Neurology · Philadelphia, PA
1894
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC1768
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
13
Beneficiaries
—
Total drug cost
$78
Distinct drugs
1
Brand share
0.0%
Top prescribed drugs
Oxycodone Hcl13 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$193
Payment records
8
By payment type
Food and Beverage$193