Physician

Ali Ahsen Shah, M.D.

According to 2025 Medicare claims, Ali Shah, M.D. (NPI: 1174722268) practices physical medicine and rehabilitation in the Newark, NJ market, with the plurality of this provider's patient population coming from Hunterdon, NJ. This provider's primary affiliated billing organization is HUNTERDON ORTHOPEDIC INSTITUTE PA (NPI: 1619952595; TIN: 222175464) and primary practice location at 08822-4671. Shah is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560) and Tandigm Value Partners, LLC (ACO ID: A5056), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 336 traditional Medicare patients, billed 2,317 HCPCS/CPT codes, and received $81,937 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 200 prescription claims across 88 beneficiaries totaling $2,045 in drug costs, led by Gabapentin (Gabapentin). DME data shows 22 claims. Open Payments data shows 3 records totaling $89. 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 started with an early spike, then settled into a lower baseline, moving from $204,035 to $81,937. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $17,242 to $2,045. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $25,650 to $391.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$102K$204K2015 Medicare payment: $204,035 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $173,231 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $74,668 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $71,945 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $20,129 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $76,357 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $81,937 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154002,853$204,035
20163622,445$173,231
20171701,062$74,668
20181761,074$71,945
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022113295$20,129
20233651,281$76,357
20243362,317$81,937

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$8.6K$17K2015 Drug cost: $17,242 (USD; Tot_Drug_Cst)2016 Drug cost: $12,662 (USD; Tot_Drug_Cst)2017 Drug cost: $292 (USD; Tot_Drug_Cst)2018 Drug cost: $583 (USD; Tot_Drug_Cst)2021 Drug cost: $10,038 (USD; Tot_Drug_Cst)2022 Drug cost: $13,438 (USD; Tot_Drug_Cst)2023 Drug cost: $2,970 (USD; Tot_Drug_Cst)2024 Drug cost: $2,045 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201523130$17,242
201624113$12,662
2017N/R37$292
2018N/R12$583
2019N/RN/RN/R
2020N/RN/RN/R
202188224$10,038
202289180$13,438
202399227$2,970
202488200$2,045

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$16K$31K2015 Medicare payment: $31,284 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $25,553 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $6,635 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,600 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $299 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $184 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201585479$31,284
2016123590$25,553
201758271$6,635
201849128$2,600
2019N/R27$299
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R22$184

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more6969$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6892$100
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more7070$82
95886Needle measurement of electrical activity in arm or leg muscles, complete study6973$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more151259$70

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin842,797$680
BaclofenBaclofen19544$326
CelecoxibCelecoxib13377$234
MethylprednisoloneMethylprednisolone1378$71
Tramadol HclTramadol Hcl1192$54

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
K0001Standard wheelchairYN/R11$125
K0195Elevating leg rests, pair (for use with capped rental wheelchair base)YN/R11$59

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$89Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Ali Ahsen Shah, M.D.?

Tedicare shows public-source Medicare data for Ali Ahsen Shah, M.D. (NPI 1174722268), 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 Ali Ahsen Shah, M.D. have ACO affiliation data?

Ali Ahsen Shah, M.D. is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560) and Tandigm Value Partners, LLC (MSSP, ACO ID A5056).

What billing organization is linked to Ali Ahsen Shah, M.D.?

Ali Ahsen Shah, M.D. is linked to HUNTERDON ORTHOPEDIC INSTITUTE PA (billing NPI 1619952595) in the available physician profile data.

Does Ali Ahsen Shah, M.D. have Open Payments data?

Ali Ahsen Shah, M.D. has 3 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.