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PROVIDER PROFILE · NPI 1487895447

Rupal ShahMD

Internal MedicineJohnson City, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
7,360
Beneficiaries
—
Total drug cost
$485K
Distinct drugs
115
Brand share
13.4%
Top prescribed drugs
Levothyroxine Sodium350 claims
Amlodipine Besylate338 claims
Atorvastatin Calcium328 claims
Losartan Potassium303 claims
Lisinopril292 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
828
Unique beneficiaries
—
Total services
1,300
Distinct HCPCS
15
Medicare payment
$66K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,907 Internal Medicine providers in TN — above median (cohort median 791).
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). 23 inbound referrers · 40 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Medical Education Assistance Corporation
Clinical Laboratory · Mountain Home, TN
180942
Patrick Macmillan
Hospice and Palliative Care · Fresno, CA
51227
GILBERT, ANNA45215
Washington County-Johnson City Emergency Medical Services Inc
Ambulance Service Provider · Johnson City, TN
39349
Julie Hunt
Nurse Practitioner · Johnson City, TN
34189
Perry Jernigan
Diagnostic Radiology · Johnson City, TN
3094
MOUNTAIN STATES HEALTH ALLIANCE3067
Jose Picaza
Diagnostic Radiology · Johnson City, TN
2665
Lisa Lull
Diagnostic Radiology · Alexandria, VA
2671
Vijay Ramu
Clinical Cardiac Electrophysiology · Johnson City, TN
2396
Timir Paul
Interventional Cardiology · Johnson City, TN
2288
Glen Hatcher
Diagnostic Radiology · Johnson City, TN
2152
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MOUNTAIN STATES HEALTH ALLIANCE188826
Medical Education Assistance Corporation
Clinical Laboratory · Mountain Home, TN
107397
Rebecca Copeland
Internal Medicine · Johnson City, TN
50239
Patrick Macmillan
Hospice and Palliative Care · Fresno, CA
45151
Julie Hunt
Nurse Practitioner · Johnson City, TN
44294
GILBERT, ANNA41184
CHUNG, SUE32105
Washington County-Johnson City Emergency Medical Services Inc
Ambulance Service Provider · Johnson City, TN
31216
MOUNTAIN STATES HEALTH ALLIANCE2966
Guy Wheeler
Diagnostic Radiology · Johnson City, TN
2255
BALBISSI, KAIS21111
Perry Jernigan
Diagnostic Radiology · Johnson City, TN
2176
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.