PROVIDER PROFILE · NPI 1437271426

Hiren ShahMD

PRACTICEST FRANCIS PHYSICIAN PRACTICES LLCSee all providers at this practice →

CardiologyColumbus, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,065

Unique beneficiaries

—

Total services

9,519

Distinct HCPCS

Medicare payment

$636K

Peer benchmark

Total Medicare services vs. 554 Cardiology providers in GA — top quintile (cohort median 2,370).

PRESCRIBING · PART D · 2024

Total Rx claims

4,372

Beneficiaries

—

Total drug cost

$850K

Distinct drugs

Brand share

40.1%

Top prescribed drugs

Clopidogrel Bisulfate511 claims

Apixaban373 claims

Atorvastatin Calcium300 claims

Metoprolol Succinate271 claims

Amlodipine Besylate253 claims

QUALITY · MIPS · 2024

Final MIPS score

95.8

Quality

86.0

Cost

87.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.88%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$80K

Payment records

130

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$69K

Travel and Lodging$8K

Food and Beverage$3K

REFERRAL NETWORK

Where Hiren 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). 97 inbound referrers · 168 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST FRANCIS HEALTH LLC	857	10,008
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	407	2,282
THE MEDICAL CENTER INC	213	785
MACHESKI, WILLIAM	213	968
Rajinder Chhokar Cardiology · Columbus, GA	110	315
BYERS, JOHN	106	446
YEOMAN, JOHN	104	373
MATTHEWS, EDWARD	94	525
NPI 1366436164	94	372
Nicholas Henson Diagnostic Radiology · Columbus, GA	83	227
LAWHORNE, THOMAS	57	222
SHAH, ALAP	55	485

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ST FRANCIS HEALTH LLC	608	5,917
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	322	1,639
THE MEDICAL CENTER INC	162	626
MACHESKI, WILLIAM	138	626
BYERS, JOHN	110	689
Alonzo Jones Cardiology · Columbus, GA	100	485
George Miller Cardiology · Columbus, GA	95	529
MATTHEWS, EDWARD	90	589
Mgas Holdings, Llc Ambulance Service Provider · Macon, GA	82	229
NPI 1366436164	78	245
YEOMAN, JOHN	74	229
Nicholas Henson Diagnostic Radiology · Columbus, GA	66	214

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