Physician

Pankajkumar C Shah, M.D.

According to 2025 Medicare claims, Pankajkumar Shah, M.D. (NPI: 1043412356) practices internal medicine in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is JENNIE STUART MEDICAL CENTER (NPI: 1750619045; TIN: 610482973) and primary practice location at 42240-1965. Shah is affiliated with the Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 359 traditional Medicare patients, billed 1,321 HCPCS/CPT codes, and received $101,167 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 299 prescription claims across 162 beneficiaries totaling $19,513 in drug costs, led by Cefpodoxime Proxetil (Cefpodoxime Proxetil). DME data shows 217 claims. Open Payments data shows 5 records totaling $131. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $153,345 to $101,167. Similarly, Part D prescription costs have fallen sharply in recent years, from $22,034 to $19,513. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $32,513 to $11,578.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	585	2,175	$153,345
2016	513	1,956	$133,400
2017	527	2,049	$139,466
2018	640	2,356	$163,599
2019	530	1,917	$152,104
2020	376	1,227	$101,924
2021	305	1,211	$90,477
2022	361	1,414	$101,721
2023	349	1,374	$101,221
2024	359	1,321	$101,167

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	206	484	$22,034
2016	195	778	$38,849
2017	207	962	$61,026
2018	238	1,123	$58,568
2019	180	1,061	$70,350
2020	145	719	$45,810
2021	137	466	$35,448
2022	182	356	$30,539
2023	147	301	$15,523
2024	162	299	$19,513

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	32	219	$17,515
2016	14	244	$14,357
2017	34	257	$7,077
2018	27	198	$6,914
2019	32	222	$8,129
2020	28	126	$6,018
2021	24	134	$6,613
2022	41	112	$5,743
2023	26	122	$6,871
2024	25	217	$9,459

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	203	$125
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	144	$88
99239	Hospital discharge day management, more than 30 minutes	140	153	$83
99238	Hospital discharge day management, 30 minutes or less	64	71	$59
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	505	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cefpodoxime Proxetil	Cefpodoxime Proxetil	18	111	$937
Cefuroxime	Cefuroxime Axetil	22	108	$235
Potassium Chloride	Potassium Chloride	14	212	$101
Doxycycline Hyclate	Doxycycline Hyclate	13	84	$95
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	14	52	$72

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	13	105	$7,468
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	12	101	$1,579
E0630	Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)	Y	N/R	11	$412

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$131	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Pankajkumar C. Shah, M.D.?

Tedicare shows public-source Medicare data for Pankajkumar C. Shah, M.D. (NPI 1043412356), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Pankajkumar C. Shah, M.D. have ACO affiliation data?

Pankajkumar C. Shah, M.D. is shown with ACO affiliation data for Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Pankajkumar C. Shah, M.D.?

Pankajkumar C. Shah, M.D. is linked to JENNIE STUART MEDICAL CENTER (billing NPI 1750619045) in the available physician profile data.

Does Pankajkumar C. Shah, M.D. have Open Payments data?

Pankajkumar C. Shah, M.D. has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.