PROVIDER PROFILE · NPI 1518959758

Pankajkumar ShahMD

PRACTICEIOPTICAL, LLCSee all providers at this practice →

OphthalmologyMission, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

714

Unique beneficiaries

—

Total services

833

Distinct HCPCS

Medicare payment

$88K

Peer benchmark

Total Medicare services vs. 1,238 Ophthalmology providers in TX — below median (cohort median 1,864).

PRESCRIBING · PART D · 2024

Total Rx claims

6,437

Beneficiaries

—

Total drug cost

$587K

Distinct drugs

Brand share

25.6%

Top prescribed drugs

Prednisolone Acetate1,313 claims

Ketorolac Tromethamine1,142 claims

Latanoprost890 claims

Ciprofloxacin Hcl756 claims

Neomycin/Polymyxin B/Dexametha647 claims

QUALITY · MIPS · 2024

Final MIPS score

75.0

Quality

0.0

Cost

100.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

0.00%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

REFERRAL NETWORK

Where Pankajkumar 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). 34 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
DOCTORS HOSPITAL AT RENAISSANCE, LTD	310	942
NPI 1376541904	88	397
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	76	163
GUELLER, LUCAS	65	202
Adolfo Morales Ophthalmology · Mission, TX	53	97
Elizabeth Pham Optometry · Mission, TX	47	88
David Mora Optometry · Laredo, TX	45	316
MISSION HOSPITAL, INC.	31	52
DOCTORS HOSPITAL OF LAREDO	30	57
O'CALLAGHAN, WILLIAM	30	76
Mark Gonzalez Cardiology · Mcallen, TX	25	69
Ricardo Cigarroa Internal Medicine · Laredo, TX	23	170

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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