PROVIDER PROFILE · NPI 1528098134

Ketan ShahMD

PRACTICECAROLINAS PHYSICIANS NETWORK INCSee all providers at this practice →

Internal MedicineCharlotte, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

190

Unique beneficiaries

—

Total services

192

Distinct HCPCS

Medicare payment

$15K

Peer benchmark

Total Medicare services vs. 2,554 Internal Medicine providers in NC — bottom quintile (cohort median 687).

PRESCRIBING · PART D · 2024

Total Rx claims

254

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

12.6%

Top prescribed drugs

Prednisone59 claims

Fluticasone Propionate58 claims

Cephalexin45 claims

Albuterol Sulfate19 claims

Amoxicillin19 claims

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

81.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Ketan 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). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GASTON MEMORIAL HOSPITAL, INCORPORATED	76	109
DELLINGER, JENNIE	25	81
Lewis Bolin Family Practice · Gastonia, NC	15	41

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