What is Sumit Shah's specialty?

Sumit Shah (NPI 1346439213) is a Medicare-billing provider whose primary specialty is Ophthalmology in New Brunswick, NJ.

Where does Sumit Shah practice?

Sumit Shah practices in New Brunswick, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1346439213.

How much does Medicare pay Sumit Shah?

Sumit Shah (NPI 1346439213) received approximately $4.2M in total Medicare Part B payments, serving 842 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1346439213

Sumit ShahM.D.

OphthalmologyNew Brunswick, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,333

Unique beneficiaries

—

Total services

31,484

Distinct HCPCS

Medicare payment

$4.0M

Peer benchmark

Total Medicare services vs. 531 Ophthalmology providers in NJ — top quintile (cohort median 2,470).

PRESCRIBING · PART D · 2024

Total Rx claims

558

Beneficiaries

—

Total drug cost

$46K

Distinct drugs

Brand share

30.5%

Top prescribed drugs

Prednisolone Acetate138 claims

Bromfenac Sodium68 claims

Latanoprost53 claims

Dorzolamide Hcl/Timolol Maleat51 claims

Ketorolac Tromethamine42 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

97.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$26K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$19K

Consulting Fee$3K

Travel and Lodging$3K

Food and Beverage$440

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$19K

Consulting Fee$3K

Travel and Lodging$3K

Food and Beverage$440

REFERRAL NETWORK

Where Sumit 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). 19 inbound referrers · 27 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	140	247
Howard Fine Ophthalmology · New Brunswick, NJ	62	104
COMMUNITY MEDICAL CENTER INC	60	130
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC	33	74
Harold Wheatley Ophthalmology · New Brunswick, NJ	29	43
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	27	41
MERIDIAN HOSPITALS CORPORATION	26	63
MONMOUTH MEDICAL CENTER INC	18	27
Richard Angrist Ophthalmology · Somerset, NJ	17	32
YARIAN, DAVID	14	22
Aculabs Inc Clinical Laboratory · East Brunswick, NJ	14	46
SAINT PETER'S UNIVERSITY HOSPITAL	14	29

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	126	216
Quest Diagnostics Incorporated Clinical Laboratory · Clifton, NJ	85	165
Howard Fine Ophthalmology · New Brunswick, NJ	61	115
COMMUNITY MEDICAL CENTER INC	54	127
Daniel Roth Ophthalmology · New Brunswick, NJ	42	75
COMMUNITY HOSPITAL GROUP INC	36	70
ACCURATE DIAGNOSTICS LABS, INC.	34	73
MERIDIAN HOSPITALS CORPORATION	31	61
MONMOUTH MEDICAL CENTER INC	30	46
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC	29	58
GREEN, STUART	26	41
MERIDIAN HOSPITALS CORPORATION	25	60

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