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PROVIDER PROFILE · NPI 1720299340

Nirav ShahDO

PRACTICEMONMOUTH OCEAN PULMONARY MEDICINE, LLCSee all providers at this practice →
Pulmonary DiseaseFreehold, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,706
Unique beneficiaries
—
Total services
2,612
Distinct HCPCS
15
Medicare payment
$260K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 363 Pulmonary Disease providers in NJ — top quintile (cohort median 1,516).
PRESCRIBING · PART D · 2024
Total Rx claims
1,334
Beneficiaries
—
Total drug cost
$641K
Distinct drugs
16
Brand share
83.1%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter261 claims
Albuterol Sulfate202 claims
Fluticasone/Vilanterol131 claims
Prednisone102 claims
Fluticasone Propion/Salmeterol99 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$291
Payment records
9
By payment type
Food and Beverage$291
REFERRAL NETWORK

Where Nirav 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). 113 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTRASTATE MEDICAL CENTER, INC7573,317
Frank Coppolino
Pulmonary Disease · Freehold, NJ
3212,055
Janet Spector
Diagnostic Radiology · Freehold, NJ
3071,213
KEKLAK, C.2801,025
Jeffrey Friedenberg
Diagnostic Radiology · Freehold, NJ
262847
Kenneth Barofsky
Pulmonary Disease · Freehold, NJ
2601,601
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION257958
John Detullio
Pulmonary Disease · Freehold, NJ
2361,445
Peter Kouveliotes
Diagnostic Radiology · Freehold, NJ
234717
Kenneth Romano
Diagnostic Radiology · Freehold, NJ
216843
Peter Mezzacappa
Diagnostic Radiology · Freehold, NJ
194575
Kenneth Tomkovich
Diagnostic Radiology · Freehold, NJ
167676
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.