What is Rupal Shah's specialty?

Rupal Shah (NPI 1396937264) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Philadelphia, PA.

Where does Rupal Shah practice?

Rupal Shah practices in Philadelphia, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1396937264.

How much does Medicare pay Rupal Shah?

Rupal Shah (NPI 1396937264) received approximately $53K in total Medicare Part B payments, serving 183 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1396937264

Rupal ShahMD

Pulmonary DiseasePhiladelphia, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

398

Unique beneficiaries

—

Total services

596

Distinct HCPCS

Medicare payment

$50K

Peer benchmark

Total Medicare services vs. 571 Pulmonary Disease providers in PA — below median (cohort median 707).

PRESCRIBING · PART D · 2024

Total Rx claims

1,348

Beneficiaries

—

Total drug cost

$1.3M

Distinct drugs

Brand share

17.7%

Top prescribed drugs

Prednisone181 claims

Azithromycin148 claims

Tacrolimus126 claims

Valganciclovir Hcl105 claims

Fluconazole101 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

95.0

Cost

80.6

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$794

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$794

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$794

REFERRAL NETWORK

Where Rupal 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). 22 inbound referrers · 39 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Karen Patterson Internal Medicine · Philadelphia, PA	91	467
Mary Elizabeth Kreider Critical Care (Intensivists) · Philadelphia, PA	72	385
Ana Kolansky Diagnostic Radiology · Philadelphia, PA	59	348
Rosita Shah Diagnostic Radiology · Philadelphia, PA	50	266
John Hobson Nurse Practitioner · Abington, PA	49	686
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	45	246
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	38	243
Eduardo Mortani Barbosa Diagnostic Radiology · Philadelphia, PA	31	158
Vivek Ahya Pulmonary Disease · Philadelphia, PA	29	218
Warren Gefter Diagnostic Radiology · Philadelphia, PA	26	121
Bernie Sunwoo Sleep Medicine · San Diego, CA	23	75
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S	22	82

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	321	2,920
MILLER, WALLACE	49	213
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	48	263
James Lee Critical Care (Intensivists) · Philadelphia, PA	40	204
John Hobson Nurse Practitioner · Abington, PA	40	529
Milton Rossman Pulmonary Disease · Philadelphia, PA	39	252
Denis Hadjiliadis Critical Care (Intensivists) · Philadelphia, PA	36	186
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	35	187
Mary Elizabeth Kreider Critical Care (Intensivists) · Philadelphia, PA	34	174
Karen Patterson Internal Medicine · Philadelphia, PA	33	194
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S	31	140
Ana Kolansky Diagnostic Radiology · Philadelphia, PA	31	152

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