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2026 NPPES data Pulmonary Disease Physician NPI 1417260399 M.D.
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Trushil Shah, M.D.

Pulmonary Disease Physician in Philadelphia, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
966
Medicare Part D claims · 122 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.6/100
▼ 9 pts below national avg 83.5 · Mid-tier
Industry payments
$5.1K
7 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Trushil Shah, M.D. reported a CMS MIPS final score of 74.6/100 - below the 83.5 national average - and filed 966 Medicare Part D claims in 2024.

74.6/100
MIPS score · -9 vs avg
966
Part D claims, 2024
55%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Trushil Shah, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1417260399), first enumerated 07/20/2010.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 966 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 74.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    4 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $5.1K in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Trushil Shah, M.D.'s individual license status. Verify directly with the state medical board.

    Source: PA-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1417260399 · Pulmonary Disease Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1417260399
  • ENUM-MID 2010
  • TAX-MID 10K Pulmonary Disease
  • MIPS-BELOW 74.6/100
  • RX-LIGHT 966
  • BOOK-LIGHT 527 in Pennsylvania
  • PHOTO-FINISH Muhanned Abu-Hijleh · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Trushil Shah, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

75 ≥ 13th percentile 13% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Trushil Shah, M.D. sits

This provider among pulmonary disease physician peers

Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Trushil Shah, M.D. writes more Part D claims than 49% of them and scores higher on MIPS quality than 17% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 85Trushil Shah, M.D., Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 17
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Trushil Shah, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Trushil Shah, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Trushil Shah, M.D.?

Below national average

NPI registry status

Active

Issued 07/20/2010

NPI 1417260399

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,647 US NPIs in this specialty

Medicare Part D claims

966 36% vs specialty avg

2024 prescription claims

Specialty avg: 1,498

MIPS final score

74.6/100 8.9 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Pulmonary Disease Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…6%Pharmacist5%Physical Therapist4.8%Mental Health Counselor4%Internal Medicine Physician3.3%Professional Counselor3.2%Pulmonary Disease Physician0.2%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Trushil Shah, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
74.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%74.6%
MIPS final score (Pulmonary Disease Physician) - 74.6/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

1331 E WYOMING AVE
Philadelphia, PA 19124
(215) 707-1622

Provider Details

NPI 1417260399
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 07/20/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

74.5984
Final Score
Measured-score avg: 83.5
56.1252
Quality
59.2027
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Trushil Shah, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

According to CMS billing records, Trushil Shah, M.D. is affiliated with 4 Medicare-billing facilities across 4 states.

Health First Medical Group, LLC
Melbourne, FL
Temple Faculty Practice Plan Inc
Philadelphia, PA
University OF Texas Southwestern Medical Center AT Dallas
Fort Worth, TX
West Park Hospital District
Cody, WY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Trushil Shah, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$5.1K

Largest payer

United Therapeutics Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Trushil Shah, M.D.. To verify Trushil Shah, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Trushil Shah, M.D. - brand share 45.0%
Pulmonary Disease Physician average

45% brand-name claims vs 55% generic, on 966 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

966
Total Claims
$5.3M
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,390.9
Total Day Supply
39,813
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$5.0M
Generic Drug Cost
$320K
Opioid Claims
13 (1.3% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
2.45
Gender Split
74% female / 26% male
Age Distribution
<65: 37, 65-74: N/A, 75-84: 40, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Trushil Shah, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Opsumit
Macitentan
203
Furosemide
 78
Tadalafil
 66
Adempas
Riociguat
61
Spironolactone
 54
Potassium Chloride
 47
Ambrisentan
 42
Sildenafil Citrate
 36
Tyvaso Dpi
Treprostinil
28
Albuterol Sulfate Hfa
Albuterol Sulfate
25

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Pulmonary Disease Physician in PA → All providers in Pennsylvania → Compare specialties →

Pulmonary Disease Physician Overview

How Trushil Shah, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider

Trushil Shah, M.D.'s 966 claims are below the specialty average of 1,498.

Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Shah, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (74.6 here).

Muhanned Abu-Hijleh 74.6 TX John Battaile 74.6 TX Srinivas Bollineni 74.6 TX Carlos Cardenas 74.6 TX

Same NPPES enumeration year (2010)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Ana Zamora-Martinez Scottsdale, AZ Cynthia Baffi San Diego, CA Tammy Le Anaheim, CA Luke Benvenuto New York, NY

Nearby Pulmonary Disease Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Shah.

One of 527 Pulmonary Disease Physician providers enrolled in Pennsylvania, 5 are shown here.

Dr. Gary Aaronson
DO
Philadelphia, PA
Dr. Joseph Abboud
M.D.
Bryn Mawr, PA
Amgad Abdu
Franklin, PA
Dr. Jason Ackrivo
MD
Philadelphia, PA
Dr. Michael Ader
M.D.
Hanover, PA

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Trushil Shah, M.D.'s specialty? ▼
Trushil Shah, M.D. specializes in Pulmonary Disease Physician and practices in Philadelphia, Pennsylvania. Credentials: M.D..
How much does Trushil Shah, M.D. prescribe under Medicare Part D? ▼
In 2024, Trushil Shah, M.D. wrote 966 Medicare Part D claims totaling $5.3M in drug costs for 122 beneficiaries.
What is Trushil Shah, M.D.'s Medicare quality score? ▼
Trushil Shah, M.D. has a CMS MIPS Final Score of 74.6/100 (Quality: 56.1, Cost: 59.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Trushil Shah, M.D. located? ▼
Trushil Shah, M.D. is located at 1331 E WYOMING AVE, Philadelphia, PA, 19124. Phone: (215) 707-1622.
What is Trushil Shah, M.D.'s NPI number? ▼
Trushil Shah, M.D.'s National Provider Identifier (NPI) is 1417260399, issued on 07/20/2010.
Does Trushil Shah, M.D. prescribe more brand-name or generic drugs? ▼
Trushil Shah, M.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $5.0M in brand drug costs.
Does Trushil Shah, M.D. prescribe opioids? ▼
Yes, Trushil Shah, M.D. had 13 opioid claims in 2024 with an opioid prescribing rate of 1.3%.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Trushil Shah, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Trushil Shah, M.D.'s most frequently prescribed drugs include Opsumit, Furosemide, Tadalafil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Trushil Shah, M.D. accept Medicare? ▼
Trushil Shah, M.D. appears in CMS Medicare data with 966 Part D claims and 122 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Trushil Shah, M.D.'s credentials? ▼
Trushil Shah, M.D.'s NPI is 1417260399 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.