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PROVIDER PROFILE · NPI 1285711705

Nilesh ShethM.D., MPH

PRACTICEHORSLEY EYE CENTERSee all providers at this practice →
OphthalmologyStoneham, MAI
CROSS-REFERENCE

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ProviderScore
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QUALITY · MIPS · 2024
Final MIPS score
92.8
Quality
100.0
Cost
73.8
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.75%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
968
Beneficiaries
—
Total drug cost
$247K
Distinct drugs
21
Brand share
34.6%
Top prescribed drugs
Prednisolone Acetate130 claims
Latanoprost114 claims
Bimatoprost95 claims
Gatifloxacin90 claims
Ketorolac Tromethamine75 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$8K
Payment records
124
By payment type
Consulting Fee$4K
Food and Beverage$3K
Travel and Lodging$851
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,240
Unique beneficiaries
—
Total services
1,485
Distinct HCPCS
12
Medicare payment
$175K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 558 Ophthalmology providers in MA — below median (cohort median 1,976).
REFERRAL NETWORK

Where Nilesh 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). 4 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
North Shore Cataract And Laser Center, Llc
Ambulatory Surgical Center · Stoneham, MA
4588
Chantal Mccarron
Optometry · Stoneham, MA
1927
KIM, EUN16223
THE GENERAL HOSPITAL CORPORATION1434
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WINCHESTER HOSPITAL103253
MELROSEWAKEFIELD HEALTHCARE, INC.64133
North Shore Cataract And Laser Center, Llc
Ambulatory Surgical Center · Stoneham, MA
3556
LAHEY CLINIC HOSPITAL, INC.2061
THE GENERAL HOSPITAL CORPORATION1944
Chantal Mccarron
Optometry · Stoneham, MA
1524
Lester Shoap
Cardiology · Chestnut Hill, MA
1433
Robert Commito
Internal Medicine · Stoneham, MA
1333
Dhiren Sutaria
Internal Medicine · Stoneham, MA
1333
Jill Fleming
Family Practice · Stoneham, MA
1126
FORTUNATO, ROBERT1114
JAMISON, STEPHEN1127
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.