Physician

Kari D Shields, MD

According to 2025 Medicare claims, Kari Shields, MD (NPI: 1285661462) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Greenup, KY. This provider's primary affiliated billing organization is ASHLAND HOSPITAL CORPORATION (NPI: 1851346720; TIN: 610444716) and primary practice location at 41102-9102. Shields is affiliated with the Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Shields' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 699 traditional Medicare patients, billed 2,300 HCPCS/CPT codes, and received $146,609 in Medicare payments. The top billing code was 99305 (Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes). Part D data shows 72,332 prescription claims across 1,244 beneficiaries totaling $5,078,804 in drug costs, led by Eliquis (Apixaban). DME data shows 674 claims. Open Payments data shows 1 records totaling $24. 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 did not follow a clear longitudinal pattern. For DME billing, reported payments moved sharply higher in recent years, from $59,641 to $118,865.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	536	2,941	$163,100
2016	553	2,844	$160,548
2017	499	2,574	$131,404
2018	457	2,478	$140,500
2019	520	2,305	$141,417
2020	512	2,274	$131,672
2021	514	2,019	$124,085
2022	697	2,275	$137,767
2023	750	2,529	$167,698
2024	699	2,300	$146,609

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	827	58,982	$2,743,949
2016	526	69,706	$2,677,006
2017	509	60,111	$2,579,842
2018	466	55,244	$2,540,804
2019	485	41,956	$2,070,983
2020	506	35,363	$1,820,497
2021	640	32,949	$1,955,092
2022	961	40,794	$2,588,054
2023	1,046	53,631	$3,749,656
2024	1,244	72,332	$5,078,804

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	272	1,538	$88,980
2016	163	908	$43,595
2017	216	1,142	$41,803
2018	160	675	$34,006
2019	168	488	$35,930
2020	293	1,284	$66,115
2021	245	765	$61,094
2022	171	664	$40,070
2023	179	708	$94,701
2024	196	674	$100,293

* / # = 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
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	290	318	$97
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	326	515	$78
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	464	1,464	$51

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	1,988	28,401	$588,652
Xifaxan	Rifaximin	223	2,918	$333,673
Jardiance	Empagliflozin	547	7,483	$162,353
Enbrel Sureclick	Etanercept	27	420	$150,404
Xarelto	Rivaroxaban	525	7,426	$150,051

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
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	N	21	34	$34,490
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	26	50	$12,870
A5513	For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each	N	38	38	$9,316
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	N	N/R	19	$8,720
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	N	N/R	17	$8,653

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$24	Stryker 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 Kari D. Shields, MD?

Tedicare shows public-source Medicare data for Kari D. Shields, MD (NPI 1285661462), 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 Kari D. Shields, MD have ACO affiliation data?

Kari D. Shields, MD is shown with ACO affiliation data for Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Kari D. Shields, MD?

Kari D. Shields, MD is linked to ASHLAND HOSPITAL CORPORATION (billing NPI 1851346720) in the available physician profile data.

Does Kari D. Shields, MD have Open Payments data?

Kari D. Shields, MD has 1 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.