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PROVIDER PROFILE · NPI 1215965660

Atul ShahM.D.

CardiologyO Fallon, ILI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 140137
Hospital
CCN 140145
Hospital
CCN 140185
Hospital
CCN 140187
Hospital
CCN 141349
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,380
Unique beneficiaries
—
Total services
4,307
Distinct HCPCS
33
Medicare payment
$240K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 686 Cardiology providers in IL — top quintile (cohort median 2,422).
PRESCRIBING · PART D · 2024
Total Rx claims
7,550
Beneficiaries
—
Total drug cost
$1.1M
Distinct drugs
54
Brand share
26.8%
Top prescribed drugs
Metoprolol Succinate689 claims
Apixaban653 claims
Atorvastatin Calcium649 claims
Furosemide384 claims
Lisinopril381 claims
QUALITY · MIPS · 2024
Final MIPS score
94.8
Quality
86.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$904
Payment records
35
By payment type
Food and Beverage$904
REFERRAL NETWORK

Where Atul 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). 104 inbound referrers · 206 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Lori Beth Helmers
Nurse Practitioner · O Fallon, IL
335914
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE2551,754
Regina Chiu
Cardiology · O Fallon, IL
195596
LAL, ROOP173497
Medstar Ambulance Inc
Ambulance Service Provider · Sparta, IL
157403
James Farn
Diagnostic Radiology · Springfield, IL
101216
DOYLE, THOMAS101341
Shiyam Satwani
Interventional Cardiology · O Fallon, IL
97390
Girish Mood
Interventional Cardiology · Belleville, IL
95253
DUMONTIER, CHARLES93193
Brett Prywitch
Diagnostic Radiology · Chester, IL
92237
HOLDENER, GREGORY90213
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER6722,781
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE3132,264
Charles Smittkamp
Diagnostic Radiology · Springfield, IL
178424
Lori Beth Helmers
Nurse Practitioner · O Fallon, IL
165482
WALLACE, DAVID161435
PROTESTANT MEMORIAL MEDICAL CENTER, INC.161435
DUMONTIER, CHARLES145347
LAL, ROOP144420
Regina Chiu
Cardiology · O Fallon, IL
142345
SPARTA COMMUNITY HOSPITAL136903
Shiyam Satwani
Interventional Cardiology · O Fallon, IL
131451
SCHROEDER, PAUL129322
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.