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Dr. Sumit P. Shah

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NPI Number Detailed Information

Provider Information:

Name: Dr. Sumit P. Shah
Gender: M
Provider License Number If Given: 25MA09260500

NPI Information:

NPI: 1346439213
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/17/2007

Last Update Date: 8/1/2017

Reputation Report:

Provider Business Mailing Address:

Address: 1000 GALLOPING HILL RD SUITE 305
Union, NJ 07083
Phone Number: 9084588330
Fax Number:

Provider Business Practice Location Address:

Address: 10 PLUM ST SUITE 600
New Brunswick, NJ 08901
Phone Number: 7322201600
Fax Number: 7322201603

Provider Taxonomy:

Primary: 207WX0107X
Secondary (if any): 207W00000X
State: NJ

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About Dr. Sumit P. Shah

Dr. Sumit P. Shah (DR. SUMIT P. SHAH ) is An Ophthalmology Physician in New Brunswick, NJ. The NPI Number for Dr. Sumit P. Shah is 1346439213.
The current location address for Dr. Sumit P. Shah is 10 PLUM ST SUITE 600 New Brunswick, NJ 08901 and the contact number is 9084588330 and fax number is . The mailing address for Dr. Sumit P. Shah is 1000 GALLOPING HILL RD SUITE 305 Union, NJ 07083- 7322201600 (mailing address contact number - 9084588330).
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Sumit P. Shah ?


Answer: The NPI Number for Dr. Sumit P. Shah is 1346439213

Where is Dr. Sumit P. Shah located?


Answer: Dr. Sumit P. Shah is located at 10 PLUM ST SUITE 600 New Brunswick, NJ 08901.

What is the specialty for Dr. Sumit P. Shah ?


Answer: The Specialty of Dr. Sumit P. Shah is An Ophthalmology Physician.

Are there any online reviews for Dr. Sumit P. Shah ?


Answer: Yes! Check It Now.

Are there any other health care providers in New Brunswick, NJ?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Sumit P. Shah

Number of HCPCS 49
Number of Medicare Beneficiaries 793
Number of Services 15987
Total Submitted Charge Amount 14191318.81
Total Medicare Allowed Amount 4514613.43
Total Medicare Payment Amount 3589102.6
Total Medicare Standardized Payment Amount 3495124.9
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 304
Number of Drug Services 7642
Total Drug Submitted Charge Amount 10774899.88
Total Drug Medicare Allowed Amount 3632902.69
Total Drug Medicare Payment Amount 2911638.56
Total Drug Medicare Standardized Payment Amount 2909915.69
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 43
Number of Medicare Beneficiaries With Medical 793
Number of Medical Services 8345
Total Medical Submitted Charge Amount 3416418.93
Total Medical Medicare Allowed Amount 881710.74
Total Medical Medicare Payment Amount 677464.04
Total Medical Medicare Standardized Payment Amount 585209.21
Average Age of Beneficiaries 78
Number of Beneficiaries Age Less 65 28
Number of Beneficiaries Age 65 to 74 281
Number of Beneficiaries Age 75 to 84 283
Number of Beneficiaries Age Greater 84 201
Number of Female Beneficiaries 457
Number of Male Beneficiaries 336
Number of Non-Hispanic White Beneficiaries 575
Number of Black or African American Beneficiaries 24
Number of Asian Pacific Islander Beneficiaries 137
Number of Hispanic Beneficiaries 31
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 26
Number of Beneficiaries With Medicare & Medicaid Entitlement 111
Number of Beneficiaries With Medicare Only Entitlement 682
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.17
Percent (%) of Beneficiaries Identified With Diabetes 0.42
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.74
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.38
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.4205

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Ophthalmology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 639
Number of Standardized 30-Day Fills 941.96666667
Aggregate Cost Paid for All Claims 70917.05
Number of Day's Supply for All Claims 25973
Number of Medicare Beneficiaries 170
Number of Claims, Including Refills, for Beneficiaries Age 65+ 589
Including Refills, for Beneficiaries Age 65+ 869.63333333
Beneficiaries Age 65+ 66744.08
Number of Day's Supply for All Claims for Beneficaries Age 65+ 23864
Number of Medicare Beneficiaries Age 65+ 159
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 353
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 286
Aggregate Cost Paid for Generic Drugs 14646.67
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 191
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 15084.7
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 448
Aggregate Cost Paid for Claims Filled by 55832.35
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 208
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 27132.08
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 431
by Low-Income Subsidy 43784.97
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 76.594117647
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74 59
Number of Beneficiaries Age 75 to 84 65
Number of Female Beneficiaries 87
Number of Male Beneficiaries 83
Number of Non-Hispanic White 101
Number of Black or African American
Number of Asian Pacific Islander 29
Number of Hispanic Beneficiaries 20
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 136
Average Hierarchical Condition Category 1.573604246

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