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

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