PROVIDER PROFILE · NPI 1417169541

Viral PatelMD

PRACTICEPINNACLE HEALTH MEDICAL SERVICESSee all providers at this practice →

Family PracticeMiddletown, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

648

Unique beneficiaries

—

Total services

990

Distinct HCPCS

Medicare payment

$73K

Peer benchmark

Total Medicare services vs. 4,194 Family Practice providers in PA — above median (cohort median 645).

PRESCRIBING · PART D · 2024

Total Rx claims

10,086

Beneficiaries

—

Total drug cost

$707K

Distinct drugs

143

Brand share

18.8%

Top prescribed drugs

Atorvastatin Calcium812 claims

Amlodipine Besylate384 claims

Lisinopril363 claims

Metoprolol Succinate361 claims

Rosuvastatin Calcium338 claims

QUALITY · MIPS · 2024

Final MIPS score

86.1

Quality

76.5

Cost

77.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.47%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$64

Payment records

By payment type

Food and Beverage$64

REFERRAL NETWORK

Where Viral Patel'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). 2 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UPMC PINNACLE HOSPITALS	173	667
William Albright Family Practice · Middletown, PA	15	44

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UPMC PINNACLE HOSPITALS	99	321
THE MILTON S HERSHEY MEDICAL CENTER	33	84
LAHR, JOSEPH	21	46
William Albright Family Practice · Middletown, PA	17	42

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