What is Hiral Shah's specialty?

Hiral Shah (NPI 1093862666) is a Medicare-billing provider whose primary specialty is Gastroenterology in Allentown, PA.

Where does Hiral Shah practice?

Hiral Shah practices in Allentown, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1093862666.

How much does Medicare pay Hiral Shah?

Hiral Shah (NPI 1093862666) received approximately $93K in total Medicare Part B payments, serving 405 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1093862666

Hiral ShahMD

GastroenterologyAllentown, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

525

Unique beneficiaries

—

Total services

542

Distinct HCPCS

Medicare payment

$63K

Peer benchmark

Total Medicare services vs. 771 Gastroenterology providers in PA — above median (cohort median 585).

PRESCRIBING · PART D · 2024

Total Rx claims

243

Beneficiaries

—

Total drug cost

$46K

Distinct drugs

Brand share

32.1%

Top prescribed drugs

Omeprazole60 claims

Sodium, Potassium,mag Sulfates37 claims

Pantoprazole Sodium36 claims

Famotidine30 claims

Peg3350/Sod Sulf,bicarb,cl/Kcl29 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$6K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$6K

Food and Beverage$375

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$6K

Food and Beverage$375

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 390133

Hospital

CCN 390201

Hospital

CCN 390338

Hospital

REFERRAL NETWORK

Where Hiral Shah'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). 77 inbound referrers · 170 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LEHIGH VALLEY HOSPITAL	320	672
John Schell Certified Registered Nurse Anesthetist (CRNA) · Allentown, PA	114	232
Shashin Shah Gastroenterology · Allentown, PA	62	86
Gregory Altemose Clinical Cardiac Electrophysiology · Miramar Beach, FL	61	79
John Martucci Diagnostic Radiology · Allentown, PA	51	57
Bret Kricun Diagnostic Radiology · Philadelphia, PA	50	68
GOLDNER, DAVID	49	68
Robert Rienzo Diagnostic Radiology · Allentown, PA	45	55
Ronald Bross Gastroenterology · Allentown, PA	44	73
Kenneth Kurtz Diagnostic Radiology · Allentown, PA	43	55
Alan Hammond Diagnostic Radiology · Allentown, PA	42	68
James Newcomb Interventional Radiology · Allentown, PA	40	48

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LEHIGH VALLEY HOSPITAL	292	783
Health Network Laboratories, Llc Clinical Laboratory · Allentown, PA	269	817
Shashin Shah Gastroenterology · Allentown, PA	74	121
John Schell Certified Registered Nurse Anesthetist (CRNA) · Allentown, PA	73	94
Anastasia Shnitser Gastroenterology · Allentown, PA	59	93
Tanveer Imam Gastroenterology · Allentown, PA	57	76
Paola Blanco Gastroenterology · Allentown, PA	55	72
Stanley Benzel Diagnostic Radiology · Allentown, PA	53	86
Ronald Bross Gastroenterology · Allentown, PA	51	75
John Cox Diagnostic Radiology · Allentown, PA	50	72
Glenn Short Gastroenterology · Allentown, PA	48	71
STELZER, FREDERIC	48	61

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