PROVIDER PROFILE · NPI 1790970069

Lily ShahMD

Hematology-OncologyCamp Hill, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,443

Unique beneficiaries

—

Total services

31,129

Distinct HCPCS

Medicare payment

$393K

Peer benchmark

Total Medicare services vs. 417 Hematology-Oncology providers in PA — top quintile (cohort median 753).

PRESCRIBING · PART D · 2024

Total Rx claims

1,096

Beneficiaries

—

Total drug cost

$3.6M

Distinct drugs

Brand share

29.7%

Top prescribed drugs

Anastrozole337 claims

Letrozole83 claims

Hydroxyurea59 claims

Ibrutinib48 claims

Apixaban44 claims

QUALITY · MIPS · 2024

Final MIPS score

82.8

Quality

65.8

Cost

77.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.33%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Lily 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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UPMC PINNACLE HOSPITALS	190	691
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	158	744
Kumudini Rao Hematology-Oncology · Camp Hill, PA	60	187
Kathryn Peroutka Hematology-Oncology · Camp Hill, PA	57	356
Mary Simmonds Internal Medicine · Camp Hill, PA	43	241
Christopher Bloomer Diagnostic Radiology · Lewisberry, PA	22	52
Family Practice Center, Pc Clinical Laboratory · Selinsgrove, PA	21	80
SOTOHAMLIN, ANGELA	16	64
Charles Austin Diagnostic Radiology · Lewisberry, PA	15	32
Elie Azar Diagnostic Radiology · Lewisberry, PA	14	44
Patricia Barry-Lane Diagnostic Radiology · Lewisberry, PA	14	29
Nicholas Otto Diagnostic Radiology · Lewisberry, PA	13	27

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