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PROVIDER PROFILE · NPI 1689841033

Shambhu AryalMD

PRACTICEPULMMED LLCSee all providers at this practice →
Internal MedicineFalls Church, VAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
448
Unique beneficiaries
—
Total services
714
Distinct HCPCS
8
Medicare payment
$33K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,091 Internal Medicine providers in VA — above median (cohort median 769).
REFERRAL NETWORK

Where Shambhu Aryal'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 · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Neil Macintyre
Pulmonary Disease · Durham, NC
155886
John Reynolds
Pulmonary Disease · Durham, NC
1241,702
Holman Mcadams
Diagnostic Radiology · Durham, NC
88535
Alice Gray
Critical Care (Intensivists) · Aurora, CO
74482
Elizabeth Pavlisko
Pathology · Durham, NC
69213
ROOS, JUSTUS65307
Lacey Washington
Diagnostic Radiology · Durham, NC
65390
Augustus Grant
Clinical Cardiac Electrophysiology · Durham, NC
44225
Danielle Seaman
Diagnostic Radiology · Durham, NC
44209
Laurie Snyder
Pulmonary Disease · Durham, NC
41201
Neil Freedman
Cardiology · Durham, NC
31158
Stephanie Norfolk
Internal Medicine · Nashville, TN
30201
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.
PRESCRIBING · PART D · 2024
Total Rx claims
318
Beneficiaries
—
Total drug cost
$1.2M
Distinct drugs
14
Brand share
42.5%
Top prescribed drugs
Prednisone72 claims
Nintedanib Esylate35 claims
Mycophenolate Mofetil32 claims
Albuterol Sulfate24 claims
Treprostinil22 claims
QUALITY · MIPS · 2024
Final MIPS score
83.4
Quality
73.0
Cost
71.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.35%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$8K
Payment records
88
By payment type
Honoraria$4K
Food and Beverage$3K
Travel and Lodging$2K