What is Heeral Shah's specialty?

Heeral Shah (NPI 1801907779) is a Medicare-billing provider whose primary specialty is Ophthalmology in Joplin, MO.

Where does Heeral Shah practice?

Heeral Shah practices in Joplin, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1801907779.

How much does Medicare pay Heeral Shah?

Heeral Shah (NPI 1801907779) received approximately $2.3M in total Medicare Part B payments, serving 1,258 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1801907779

Heeral ShahM.D.

OphthalmologyJoplin, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,602

Unique beneficiaries

—

Total services

43,897

Distinct HCPCS

Medicare payment

$2.2M

Peer benchmark

Total Medicare services vs. 284 Ophthalmology providers in MO — top quintile (cohort median 2,050).

PRESCRIBING · PART D · 2024

Total Rx claims

2,197

Beneficiaries

—

Total drug cost

$220K

Distinct drugs

Brand share

27.5%

Top prescribed drugs

Timolol Maleate445 claims

Latanoprost369 claims

Brimonidine Tartrate221 claims

Bimatoprost209 claims

Dorzolamide Hcl147 claims

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 · 2025

Total received

$145

Payment records

By payment type

Food and Beverage$145

Top paying entities

Food and Beverage$145

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

Physician	Patients	Visits
FREEMAN-OAK HILL HEALTH SYSTEM	123	358
Ramesh Shah Ophthalmology · Joplin, MO	84	129
David Debyle Anesthesiology · Joplin, MO	26	37
Russell Kennedy Family Practice · Webb City, MO	25	50
MERCY HOSPITAL CARTHAGE	15	29
William Nicholas Cardiology · Joplin, MO	13	35
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	12	13
INTEGRIS MIAMI HOSPITAL	11	21
Corin Wilde Podiatry · Pittsburg, KS	11	19

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events