Physician

Ajay Shetty, MD

According to 2025 Medicare claims, Ajay Shetty, MD (NPI: 1053498170) practices pulmonary disease in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Lackawanna, PA. This provider's primary affiliated billing organization is GEISINGER CLINIC (NPI: 1255382784; TIN: 236291113) and primary practice location at 18510-2369. Shetty is affiliated with the Keystone ACO (ACO ID: A1552) and CHSPSC ACO 13, LLC (ACO ID: A3723), participating under the MSSP model.

Shetty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 361 traditional Medicare patients, billed 727 HCPCS/CPT codes, and received $35,979 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 1,352 prescription claims across 261 beneficiaries totaling $641,493 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 710 claims. No Open Payments records. 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 $109,697 to $35,979. In contrast, Part D prescription costs have moved sharply higher in recent years, from $264,308 to $641,493. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $44,682 to $109,760.