PROVIDER PROFILE · NPI 1720145246

Shailesh PatelM.D.

Pulmonary DiseaseSchenectady, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

989

Unique beneficiaries

—

Total services

1,200

Distinct HCPCS

Medicare payment

$83K

Peer benchmark

Total Medicare services vs. 811 Pulmonary Disease providers in NY — above median (cohort median 790).

PRESCRIBING · PART D · 2024

Total Rx claims

1,678

Beneficiaries

—

Total drug cost

$1.7M

Distinct drugs

Brand share

76.5%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter383 claims

Albuterol Sulfate272 claims

Fluticasone Propion/Salmeterol136 claims

Fluticasone/Vilanterol108 claims

Prednisone93 claims

QUALITY · MIPS · 2024

Final MIPS score

92.3

Quality

98.8

Cost

76.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.73%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Education$12

Top paying entities

Food and Beverage$2K

Education$12

REFERRAL NETWORK

Where Shailesh Patel'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). 33 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ELLIS HOSPITAL	196	1,180
Shirish Parikh Diagnostic Radiology · Latham, NY	35	101
Eric Wagle Diagnostic Radiology · Schenectady, NY	35	99
Michael Burke Diagnostic Radiology · Schenectady, NY	33	83
SARATOGA HOSPITAL	32	130
ALBANY MEDICAL CENTER HOSPITAL	31	77
Sasi Cheruvu Diagnostic Radiology · Schenectady, NY	29	72
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	27	68
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY	27	68
SONG, JUHO	24	41
Denis Manor Cardiology · Schenectady, NY	24	62
David Armenia Cardiology · Schenectady, NY	21	52

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