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

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