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PROVIDER PROFILE · NPI 1538372628

Himal ShahM.D.

Clinical Cardiac ElectrophysiologyChandler, AZI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,002
Unique beneficiaries
—
Total services
6,259
Distinct HCPCS
35
Medicare payment
$553K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 59 Clinical Cardiac Electrophysiology providers in AZ — above median (cohort median 4,471).
PRESCRIBING · PART D · 2024
Total Rx claims
4,245
Beneficiaries
—
Total drug cost
$535K
Distinct drugs
43
Brand share
22.4%
Top prescribed drugs
Metoprolol Succinate691 claims
Atorvastatin Calcium495 claims
Valsartan464 claims
Amlodipine Besylate384 claims
Apixaban185 claims
REFERRAL NETWORK

Where Himal 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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Huy Phan
Cardiology · Chandler, AZ
4991
MEDI-LYNX CARDIAC MONITORING, LLC4074
Melissa Gurley
Interventional Radiology · Phoenix, AZ
2954
Faisal Bahadur
Cardiology · Chandler, AZ
2488
Andrew Cottrell
Diagnostic Radiology · Dayton, OH
1835
Stephanie Horton
Diagnostic Radiology · Cincinnati, OH
1838
Denise Kulesha
Diagnostic Radiology · El Segundo, CA
1738
Frederic Luo
Internal Medicine · Queen Creek, AZ
1792
Marc Tobler
Diagnostic Radiology · Temple, TX
1640
Salman Sheikh
Pulmonary Disease · Chandler, AZ
15103
Ghassan Fraij
Cardiology · Tempe, AZ
1531
NPI 13169924071320
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.
QUALITY · MIPS · 2024
Final MIPS score
24.3
Quality
0.0
Cost
80.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.09%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
56
By payment type
Food and Beverage$1K
Travel and Lodging$711