Physician

J Stephen Shymansky, MD

According to 2025 Medicare claims, J. Shymansky, MD (NPI: 1205832755) practices neurology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is ASSOCIATES IN NEUROLOGY OF PITTSBURGH (NPI: 1619936655; TIN: 251313633) and primary practice location at 15025-3723. Shymansky is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547) and Bridges Health Partners Accountable Care Organization (ACO ID: A3919), participating under the MSSP model.

Shymansky's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 115 traditional Medicare patients, billed 13,488 HCPCS/CPT codes, and received $257,699 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 79 prescription claims across 37 beneficiaries totaling $39,967 in drug costs, led by Carbidopa-Levodopa (Carbidopa/Levodopa). 2016 DME data shows 24 claims. Open Payments data shows 39 records totaling $1,545. 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 moved up and down with repeated peaks and valleys, starting at $223,325 and ending at $257,699. Concurrently, Part D prescription costs have fallen sharply in recent years, from $1,446,748 to $39,967. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$231K$462K2015 Medicare payment: $223,325 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $272,041 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $383,041 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $267,089 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $357,201 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $461,583 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $379,980 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $182,526 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $45,884 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $257,699 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157478,678$223,325
201651313,855$272,041
201756615,891$383,041
201854910,860$267,089
201958010,747$357,201
202062613,328$461,583
20216369,972$379,980
20224723,185$182,526
2023296641$45,884
202411513,488$257,699

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$1.0M$2.1M2015 Drug cost: $1,446,748 (USD; Tot_Drug_Cst)2016 Drug cost: $1,291,832 (USD; Tot_Drug_Cst)2017 Drug cost: $1,679,533 (USD; Tot_Drug_Cst)2018 Drug cost: $1,569,704 (USD; Tot_Drug_Cst)2019 Drug cost: $1,864,259 (USD; Tot_Drug_Cst)2020 Drug cost: $2,088,647 (USD; Tot_Drug_Cst)2021 Drug cost: $2,041,671 (USD; Tot_Drug_Cst)2022 Drug cost: $1,658,012 (USD; Tot_Drug_Cst)2023 Drug cost: $150,999 (USD; Tot_Drug_Cst)2024 Drug cost: $39,967 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153012,010$1,446,748
20162951,691$1,291,832
20173102,002$1,679,533
20183072,000$1,569,704
20193382,043$1,864,259
20203932,018$2,088,647
20213581,910$2,041,671
20224752,521$1,658,012
2023173484$150,999
20243779$39,967

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$712$1.4K2016 Medicare payment: $1,424 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R24$1,424
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more1313$163
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2626$130
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6883$96
G2211Visit 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's1819$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Carbidopa-LevodopaCarbidopa/Levodopa11390$270
ClopidogrelClopidogrel Bisulfate141,260$259

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.39$1,545TG Therapeutics, 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 J. Stephen Shymansky, MD?

Tedicare shows public-source Medicare data for J. Stephen Shymansky, MD (NPI 1205832755), 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 J. Stephen Shymansky, MD have ACO affiliation data?

J. Stephen Shymansky, MD is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547) and Bridges Health Partners Accountable Care Organization (MSSP, ACO ID A3919).

What billing organization is linked to J. Stephen Shymansky, MD?

J. Stephen Shymansky, MD is linked to ASSOCIATES IN NEUROLOGY OF PITTSBURGH (billing NPI 1619936655) in the available physician profile data.

Does J. Stephen Shymansky, MD have Open Payments data?

J. Stephen Shymansky, 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.