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PROVIDER PROFILE · NPI 1801907779

Heeral ShahM.D.

OphthalmologyJoplin, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
93.5
Quality
100.0
Cost
78.4
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.78%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
11
By payment type
Honoraria$1K
Food and Beverage$187
PRESCRIBING · PART D · 2024
Total Rx claims
2,197
Beneficiaries
—
Total drug cost
$220K
Distinct drugs
22
Brand share
27.5%
Top prescribed drugs
Timolol Maleate445 claims
Latanoprost369 claims
Brimonidine Tartrate221 claims
Bimatoprost209 claims
Dorzolamide Hcl147 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,602
Unique beneficiaries
—
Total services
43,897
Distinct HCPCS
25
Medicare payment
$2.2M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 284 Ophthalmology providers in MO — top quintile (cohort median 2,050).
REFERRAL NETWORK

Where Heeral 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). 9 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FREEMAN-OAK HILL HEALTH SYSTEM123358
Ramesh Shah
Ophthalmology · Joplin, MO
84129
David Debyle
Anesthesiology · Joplin, MO
2637
Russell Kennedy
Family Practice · Webb City, MO
2550
MERCY HOSPITAL CARTHAGE1529
William Nicholas
Cardiology · Joplin, MO
1335
Laboratory Corporation Of America
Clinical Laboratory · Dallas, TX
1213
INTEGRIS MIAMI HOSPITAL1121
Corin Wilde
Podiatry · Pittsburg, KS
1119
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.