What is Atul Shah's specialty?

Atul Shah (NPI 1215965660) is a Medicare-billing provider whose primary specialty is Cardiology in O Fallon, IL.

Where does Atul Shah practice?

Atul Shah practices in O Fallon, IL, based on the location reported in the CMS Medicare provider datasets for NPI 1215965660.

How much does Medicare pay Atul Shah?

Atul Shah (NPI 1215965660) received approximately $276K in total Medicare Part B payments, serving 1,564 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1215965660

Atul ShahM.D.

CardiologyO Fallon, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,380

Unique beneficiaries

—

Total services

4,307

Distinct HCPCS

Medicare payment

$240K

Peer benchmark

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

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

By payment type

Food and Beverage$904

Top paying entities

Food and Beverage$904

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

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

Physician	Patients	Visits
Lori Beth Helmers Nurse Practitioner · O Fallon, IL	335	914
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE	255	1,754
Regina Chiu Cardiology · O Fallon, IL	195	596
LAL, ROOP	173	497
Medstar Ambulance Inc Ambulance Service Provider · Sparta, IL	157	403
James Farn Diagnostic Radiology · Springfield, IL	101	216
DOYLE, THOMAS	101	341
Shiyam Satwani Interventional Cardiology · O Fallon, IL	97	390
Girish Mood Interventional Cardiology · Belleville, IL	95	253
DUMONTIER, CHARLES	93	193
Brett Prywitch Diagnostic Radiology · Chester, IL	92	237
HOLDENER, GREGORY	90	213

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER	672	2,781
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE	313	2,264
Charles Smittkamp Diagnostic Radiology · Springfield, IL	178	424
Lori Beth Helmers Nurse Practitioner · O Fallon, IL	165	482
WALLACE, DAVID	161	435
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	161	435
DUMONTIER, CHARLES	145	347
LAL, ROOP	144	420
Regina Chiu Cardiology · O Fallon, IL	142	345
SPARTA COMMUNITY HOSPITAL	136	903
Shiyam Satwani Interventional Cardiology · O Fallon, IL	131	451
SCHROEDER, PAUL	129	322

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events