PROVIDER PROFILE · NPI 1063671709

Nirav ShethMD

Internal MedicineAbington, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

348

Unique beneficiaries

—

Total services

501

Distinct HCPCS

Medicare payment

$37K

Peer benchmark

Total Medicare services vs. 4,434 Internal Medicine providers in PA — below median (cohort median 550).

PRESCRIBING · PART D · 2024

Total Rx claims

165

Beneficiaries

—

Total drug cost

$9K

Distinct drugs

Brand share

17.6%

Top prescribed drugs

Metoprolol Succinate17 claims

Amlodipine Besylate16 claims

Tramadol Hcl15 claims

Apixaban15 claims

Prednisone15 claims

QUALITY · MIPS · 2024

Final MIPS score

79.9

Quality

61.2

Cost

71.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.21%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 100030

Hospital

CCN 390153

Hospital

REFERRAL NETWORK

Where Nirav Sheth'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). 53 inbound referrers · 142 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Gold Cross Ems, Inc. Ambulance Service Provider · Martinez, GA	122	221
Jose Bauza Diagnostic Radiology · Augusta, GA	105	189
Harold Jones Diagnostic Radiology · Evans, GA	93	152
Rodney Hobbs Diagnostic Radiology · Evans, GA	83	138
William Johnson Diagnostic Radiology · Evans, GA	76	120
BROOKS, WILLIAM	55	87
PRATHER, STUART	48	66
Forrest Walker Diagnostic Radiology · Augusta, GA	41	61
Ryan Johnson Emergency Medicine · Waynesboro, GA	37	56
Ashok Malhi Hospitalist · Sherman, TX	37	69
Abiy Mekoya Internal Medicine · Augusta, GA	33	61
James Davis Diagnostic Radiology · Evans, GA	32	52

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UNIVERSITY HEALTH SERVICES,INC	433	932
Jose Bauza Diagnostic Radiology · Augusta, GA	172	340
Gold Cross Ems, Inc. Ambulance Service Provider · Martinez, GA	150	298
Rodney Hobbs Diagnostic Radiology · Evans, GA	128	229
Harold Jones Diagnostic Radiology · Evans, GA	107	187
William Johnson Diagnostic Radiology · Evans, GA	104	186
ARRINGTON, LAWRENCE	90	165
Steven Rogers Diagnostic Radiology · Evans, GA	76	128
Capital City Ambulance Of Georgia Inc Ambulance Service Provider · Augusta, GA	70	229
Melissa Stone Diagnostic Radiology · Evans, GA	65	109
PRATHER, STUART	64	100
Forrest Walker Diagnostic Radiology · Augusta, GA	60	89

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