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PROVIDER PROFILE · NPI 1295066918

Shetal ShahM.D.

PRACTICEUT SOUTHWESTERNSee all providers at this practice →
OphthalmologyBrentwood, NYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Shetal 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 · 3 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1738
Northwell Health Laboratories
Clinical Laboratory · New Hyde Park, NY
1333
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
1231
Raju Sarwal
Ophthalmology · Brentwood, NY
1124
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1846
Long Island Ambulatory Surgery Center, Llc
Ambulatory Surgical Center · Brentwood, NY
1853
Edward Marcus
Ophthalmology · New York, NY
1741
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,733
Unique beneficiaries
—
Total services
3,924
Distinct HCPCS
17
Medicare payment
$258K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,438 Ophthalmology providers in NY — above median (cohort median 1,869).
PRESCRIBING · PART D · 2024
Total Rx claims
1,826
Beneficiaries
—
Total drug cost
$356K
Distinct drugs
19
Brand share
24.7%
Top prescribed drugs
Prednisolone Acetate328 claims
Ofloxacin238 claims
Ketorolac Tromethamine232 claims
Brimonidine Tartrate156 claims
Latanoprost135 claims
QUALITY · MIPS · 2024
Final MIPS score
91.5
Quality
90.0
Cost
76.6
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.69%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$969
Payment records
40
By payment type
Food and Beverage$969