Physician

Hemant K Sheth, M.D., F.C.C.P.

According to 2025 Medicare claims, Hemant Sheth, M.D., F.C.C.P. (NPI: 1134140270) practices pulmonary disease in the St. Joseph, MO-KS market, with the plurality of this provider's patient population coming from Buchanan, MO. This provider's primary affiliated billing organization is HEARTLAND REGIONAL MEDICAL CENTER (NPI: 1538200357; TIN: 440545289) and primary practice location at 64506-3800.

Sheth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 511 traditional Medicare patients, billed 2,887 HCPCS/CPT codes, and received $166,268 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,109 prescription claims across 389 beneficiaries totaling $369,320 in drug costs, led by Spiriva Handihaler (Tiotropium Bromide). DME data shows 1,658 claims. Open Payments data shows 2 records totaling $39. 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 fallen sharply in recent years, from $361,008 to $166,268. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	988	6,211	$361,008
2016	1,061	6,397	$372,441
2017	1,145	6,311	$378,987
2018	1,068	5,510	$310,743
2019	968	5,055	$289,290
2020	868	4,793	$310,390
2021	735	3,870	$253,457
2022	677	3,430	$220,306
2023	467	2,149	$131,732
2024	511	2,887	$166,268

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	372	2,469	$314,933
2016	397	2,849	$384,177
2017	384	2,667	$403,264
2018	348	2,174	$364,250
2019	341	1,990	$324,668
2020	341	1,906	$453,607
2021	330	1,733	$473,957
2022	296	1,626	$369,172
2023	333	1,774	$491,264
2024	389	2,109	$369,320

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	677	3,004	$230,800
2016	721	3,360	$207,678
2017	636	2,995	$169,166
2018	646	3,000	$162,640
2019	588	2,567	$148,314
2020	635	2,583	$156,928
2021	551	2,270	$155,724
2022	425	1,785	$114,051
2023	397	1,707	$105,831
2024	397	1,658	$104,801

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	133	211	$103
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	703	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	248	440	$41
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	285	392	$12
94729	Test to examine how well the lungs exchange gases	125	127	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Spiriva Handihaler	Tiotropium Bromide	94	5,880	$99,991
Advair Hfa	Fluticasone Propion/Salmeterol	55	2,910	$41,334
Symbicort	Budesonide/Formoterol Fumarate	84	5,207	$40,801
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	91	5,130	$25,897
Incruse Ellipta	Umeclidinium Bromide	41	1,770	$19,383

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	47	$40,533
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	48	373	$29,166
A7031	Face mask interface, replacement for full face mask, each	N	18	44	$3,645
A7030	Full face mask used with positive airway pressure device, each	N	20	45	$3,598
A7032	Cushion for use on nasal mask interface, replacement only, each	N	15	33	$3,038

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$39	Pulmonx Corporation
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 Hemant K. Sheth, M.D., F.C.C.P.?

Tedicare shows public-source Medicare data for Hemant K. Sheth, M.D., F.C.C.P. (NPI 1134140270), 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 Hemant K. Sheth, M.D., F.C.C.P. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Hemant K. Sheth, M.D., F.C.C.P.?

Hemant K. Sheth, M.D., F.C.C.P. is linked to HEARTLAND REGIONAL MEDICAL CENTER (billing NPI 1538200357) in the available physician profile data.

Does Hemant K. Sheth, M.D., F.C.C.P. have Open Payments data?

Hemant K. Sheth, M.D., F.C.C.P. has 2 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.