What is Derek Shia's specialty?

Derek Shia (NPI 1861600165) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Hamden, CT.

Where does Derek Shia practice?

Derek Shia practices in Hamden, CT, based on the location reported in the CMS Medicare provider datasets for NPI 1861600165.

How much does Medicare pay Derek Shia?

Derek Shia (NPI 1861600165) received approximately $128K in total Medicare Part B payments, serving 297 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1861600165

Derek ShiaMD

Orthopedic SurgeryHamden, CTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

964

Unique beneficiaries

—

Total services

1,927

Distinct HCPCS

Medicare payment

$109K

Peer benchmark

Total Medicare services vs. 318 Orthopedic Surgery providers in CT — above median (cohort median 1,357).

PRESCRIBING · PART D · 2024

Total Rx claims

647

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

11.4%

Top prescribed drugs

Gabapentin97 claims

Oxycodone Hcl88 claims

Meloxicam86 claims

Naproxen80 claims

Ondansetron Hcl78 claims

QUALITY · MIPS · 2024

Final MIPS score

87.8

Quality

79.3

Cost

80.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.54%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$814

Payment records

By payment type

Travel and Lodging$535

Food and Beverage$280

Top paying entities

Travel and Lodging$535

Food and Beverage$280

REFERRAL NETWORK

Where Derek Shia'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Llc Clinical Laboratory · Wallingford, CT	91	626
YALE NEW HAVEN HOSPITAL	51	165
Shirvinda Wijesekera Orthopedic Surgery · Hamden, CT	37	123
American Medical Response Of Connecticut Incorporated Ambulance Service Provider · New Haven, CT	33	112
HARTFORD HEALTHCARE LABORATORIES	25	141
Sherri O'connor Physician Assistant · Hamden, CT	18	44
Lee Katz Diagnostic Radiology · New Haven, CT	17	82
John Irving Orthopedic Surgery · Hamden, CT	16	74
VISITING NURSE ASSOCIATION COMMUNITY HEALTHCARE, INC	13	27
Alan Reznik Orthopedic Surgery · Hamden, CT	11	23

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