What is Avani Shah's specialty?

Avani Shah (NPI 1255328373) is a Medicare-billing provider whose primary specialty is Ophthalmology in Allentown, PA.

Where does Avani Shah practice?

Avani Shah practices in Allentown, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1255328373.

How much does Medicare pay Avani Shah?

Avani Shah (NPI 1255328373) received approximately $110K in total Medicare Part B payments, serving 441 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1255328373

Avani ShahMD

OphthalmologyAllentown, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

943

Unique beneficiaries

—

Total services

1,080

Distinct HCPCS

Medicare payment

$102K

Peer benchmark

Total Medicare services vs. 810 Ophthalmology providers in PA — below median (cohort median 1,854).

PRESCRIBING · PART D · 2024

Total Rx claims

1,722

Beneficiaries

—

Total drug cost

$336K

Distinct drugs

Brand share

20.7%

Top prescribed drugs

Prednisolone Acetate273 claims

Latanoprost228 claims

Ketorolac Tromethamine179 claims

Cyclosporine161 claims

Ofloxacin153 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$130

Payment records

By payment type

Food and Beverage$130

Top paying entities

Food and Beverage$130

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 390133

Hospital

REFERRAL NETWORK

Where Avani 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). 4 inbound referrers · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LEHIGH VALLEY HOSPITAL	118	396
ST LUKES HOSPITAL	22	78
Raymond Yedlock Certified Registered Nurse Anesthetist (CRNA) · Allentown, PA	19	53
CH HOSPITAL OF ALLENTOWN, LLC	12	26

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LEHIGH VALLEY HOSPITAL	104	238
Health Network Laboratories, Llc Clinical Laboratory · Allentown, PA	87	190
LEHIGH VALLEY HOSPITAL MUHLENBERG	24	36
ST LUKES HOSPITAL	20	47
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	18	35
CH HOSPITAL OF ALLENTOWN, LLC	14	40
Raymond Yedlock Certified Registered Nurse Anesthetist (CRNA) · Allentown, PA	13	37

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