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PROVIDER PROFILE · NPI 1710029681

Andrew SheltonM.D.

General SurgeryStanford, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
236
Unique beneficiaries
—
Total services
282
Distinct HCPCS
10
Medicare payment
$31K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,763 General Surgery providers in CA — above median (cohort median 269).
PRESCRIBING · PART D · 2024
Total Rx claims
219
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
4
Brand share
36.5%
Top prescribed drugs
Neomycin Sulfate70 claims
Metronidazole69 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl51 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl18 claims
Sodium, Potassium,mag Sulfates11 claims
QUALITY · MIPS · 2024
Final MIPS score
88.5
Quality
87.1
Cost
69.5
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.57%
Group
REFERRAL NETWORK

Where Andrew Shelton'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). 5 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Jon Keller
Pathology · Palo Alto, CA
16110
Ann Press
Internal Medicine · Santa Rosa, CA
1461
John Higgins
Pathology · Stanford, CA
1231
Linda Morimoto
Diagnostic Radiology · Stanford, CA
1223
COUNTY OF SANTA CLARA1153
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$120
Payment records
1
By payment type
Food and Beverage$120