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PROVIDER PROFILE · NPI 1982694857

Shefali PatelMD

Internal MedicineEdison, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
96.1
Quality
86.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.89%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14
Payment records
1
By payment type
Food and Beverage$14
PRESCRIBING · PART D · 2024
Total Rx claims
12,657
Beneficiaries
—
Total drug cost
$1.4M
Distinct drugs
124
Brand share
22.8%
Top prescribed drugs
Levothyroxine Sodium867 claims
Simvastatin856 claims
Amlodipine Besylate613 claims
Diclofenac Sodium596 claims
Metformin Hcl556 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,257
Unique beneficiaries
—
Total services
2,571
Distinct HCPCS
17
Medicare payment
$157K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,616 Internal Medicine providers in NJ — top quintile (cohort median 895).
REFERRAL NETWORK

Where Shefali Patel'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CEDAR OAKS HEALTHCARE, LLC39191
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3486
Suresh Mody
Diagnostic Radiology · East Brunswick, NJ
3278
Varun Gujral
Podiatry · Edison, NJ
32120
Hitesh Patel
Ophthalmology · Edison, NJ
2341
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC1635
Aculabs Inc
Clinical Laboratory · East Brunswick, NJ
16154
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1656
Samir Sutaria
Nephrology · Edison, NJ
1599
Gerald Weisfogel
Cardiology · Kendall Park, NJ
1543
SHAFI, MOHAMMAD14105
Sunil Patel
Internal Medicine · Newark, NJ
1142
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.