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PROVIDER PROFILE · NPI 1427077270

Atul Shah

GastroenterologyPrince Frederick, MDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$17
Payment records
1
By payment type
Food and Beverage$17
PRESCRIBING · PART D · 2024
Total Rx claims
497
Beneficiaries
—
Total drug cost
$58K
Distinct drugs
17
Brand share
24.3%
Top prescribed drugs
Omeprazole132 claims
Pantoprazole Sodium55 claims
Famotidine32 claims
Linaclotide32 claims
Cholestyramine (With Sugar)26 claims
QUALITY · MIPS · 2024
Final MIPS score
81.4
Quality
61.5
Cost
79.9
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.27%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,672
Unique beneficiaries
—
Total services
3,192
Distinct HCPCS
24
Medicare payment
$303K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 343 Gastroenterology providers in MD — top quintile (cohort median 894).
REFERRAL NETWORK

Where Atul 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). 32 inbound referrers · 58 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Marcos Faltamo
Certified Registered Nurse Anesthetist (CRNA) · Largo, MD
384857
Brian Plasil
Pathology · Baltimore, MD
292653
CALVERTHEALTH MEDICAL CENTER, INC.138403
NPI 132600504241102
Varkey Mathew
Cardiology · Huntingtown, MD
41113
Anwar Munshi
Internal Medicine · Prince Frederick, MD
34213
Zahir Yousaf
Internal Medicine · Huntingtown, MD
30159
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC2969
Am-Van Incorporated
Ambulance Service Provider · Lothian, MD
2775
Frank Ryan
Internal Medicine · Fort Washington, MD
2562
Estelle Cooke-Sampson
Diagnostic Radiology · Washington, DC
2163
Alex Ryzhikov
Internal Medicine · Waldorf, MD
1959
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Marcos Faltamo
Certified Registered Nurse Anesthetist (CRNA) · Largo, MD
325508
Brian Plasil
Pathology · Baltimore, MD
249411
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
198720
CALVERTHEALTH MEDICAL CENTER, INC.137404
Southern Maryland Endoscopy Center
Ambulatory Surgical Center · National Harbor, MD
133304
SHAH ASSOCIATES MD PA90260
Varkey Mathew
Cardiology · Huntingtown, MD
34103
Anwar Munshi
Internal Medicine · Prince Frederick, MD
33158
Brian Brune
Diagnostic Radiology · Prince Frederick, MD
3290
Zahir Yousaf
Internal Medicine · Huntingtown, MD
31136
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC3060
NPI 13260050422862
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.