Physician

Shaun K Joshi, MD

According to 2025 Medicare claims, Shaun Joshi, MD (NPI: 1073629150) practices internal medicine in the Coeur d'Alene, ID market, with the plurality of this provider's patient population coming from Kootenai, ID. This provider's primary affiliated billing organization is NORTH IDAHO NEPHROLOGY ASSOCIATES, INC. (NPI: 1912181090; TIN: 260661286) and primary practice location at 83835-7412. Joshi is affiliated with the Kootenai Accountable Care, LLC (ACO ID: A3621), participating under the MSSP model.

Joshi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,278 traditional Medicare patients, billed 6,929 HCPCS/CPT codes, and received $590,766 in Medicare payments. The top billing code was 99496 (Transitional care management services for problem of high complexity). Part D data shows 1,416 prescription claims across 173 beneficiaries totaling $499,794 in drug costs, led by Tolvaptan (Tolvaptan). DME data shows 68 claims. Open Payments data shows 39 records totaling $811. 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 changed little. Concurrently, Part D prescription costs have declined steadily, from $827,826 to $499,794. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $12,539 to $4,266.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,040	12,583	$406,028
2016	1,067	6,663	$439,720
2017	1,045	5,369	$453,974
2018	1,190	8,943	$422,522
2019	1,167	11,679	$416,637
2020	1,565	5,727	$558,325
2021	1,317	6,202	$573,844
2022	1,163	5,763	$547,787
2023	1,223	4,819	$530,274
2024	1,278	6,929	$590,766

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	366	5,213	$827,826
2016	373	5,608	$1,053,512
2017	412	6,080	$953,206
2018	367	5,159	$785,449
2019	302	3,814	$724,667
2020	309	3,229	$1,131,733
2021	254	2,655	$776,528
2022	257	2,538	$593,917
2023	180	1,756	$443,158
2024	173	1,416	$499,794

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	40	480	$32,726
2016	42	575	$29,578
2017	58	623	$31,568
2018	26	499	$26,650
2019	32	424	$20,461
2020	40	459	$18,385
2021	11	297	$11,904
2022	N/R	127	$5,933
2023	N/R	123	$6,810
2024	N/R	68	$794

* / # = 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
99496	Transitional care management services for problem of high complexity	191	243	$201
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	158	225	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	838	1,892	$87
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	299	1,096	$59
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	807	1,919	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tolvaptan	Tolvaptan	11	232	$98,023
Velphoro	Sucroferric Oxyhydroxide	24	720	$54,432
Xphozah	Tenapanor Hcl	12	360	$34,101
Lokelma	Sodium Zirconium Cyclosilicate	29	1,110	$29,421
Ozempic	Semaglutide	14	476	$15,937

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
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	23	$433
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	15	$226
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	11	$129
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	N	N/R	19	$7

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	39	$811	Travere Therapeutics, Inc.
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 Shaun K. Joshi, MD?

Tedicare shows public-source Medicare data for Shaun K. Joshi, MD (NPI 1073629150), 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 Shaun K. Joshi, MD have ACO affiliation data?

Shaun K. Joshi, MD is shown with ACO affiliation data for Kootenai Accountable Care, LLC (MSSP, ACO ID A3621).

What billing organization is linked to Shaun K. Joshi, MD?

Shaun K. Joshi, MD is linked to NORTH IDAHO NEPHROLOGY ASSOCIATES, INC. (billing NPI 1912181090) in the available physician profile data.

Does Shaun K. Joshi, MD have Open Payments data?

Shaun K. Joshi, MD has 39 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.