Physician

Bilal Mobashar Shafi, MD

According to 2025 Medicare claims, Bilal Shafi, MD (NPI: 1306923123) practices thoracic surgery in the Santa Cruz-Watsonville, CA market, with the plurality of this provider's patient population coming from Santa Cruz, CA. This provider's primary affiliated billing organization is SUTTER BAY MEDICAL FOUNDATION (NPI: 1013950807; TIN: 941156581) and primary practice location at 95065-1711. Shafi is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Shafi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 389 traditional Medicare patients, billed 1,054 HCPCS/CPT codes, and received $465,108 in Medicare payments. The top billing code was 33361 (Replacement of aortic valve through the skin and femoral artery). Part D data shows 27 prescription claims across 14 beneficiaries totaling $4,762 in drug costs. DME data shows 12 claims. Open Payments data shows 44 records totaling $30,178. 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 moved up and down with repeated peaks and valleys, starting at $697 and ending at $4,762. 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.

Year	Patients	Clm Lines	Payment
2015	230	757	$446,872
2016	291	928	$423,557
2017	371	1,099	$479,885
2018	380	1,092	$485,948
2019	433	1,222	$551,818
2020	365	1,030	$504,820
2021	374	1,008	$503,495
2022	441	1,184	$551,669
2023	352	935	$439,702
2024	389	1,054	$465,108

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	29	63	$697
2016	19	32	$638
2017	19	47	$1,803
2018	13	29	$620
2019	21	36	$3,076
2020	22	45	$4,631
2021	13	25	$694
2022	22	34	$419
2023	N/R	17	$3,377
2024	14	27	$4,762

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	12	$295

* / # = 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
33361	Replacement of aortic valve through the skin and femoral artery	78	78	$592
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	188	189	$191
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	114	$147
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	77	79	$78
33508	Harvest of vein using an endoscope	50	50	$13

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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
K0003	Lightweight wheelchair	Y	N/R	12	$295

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	44	$30,178	Edwards Lifesciences 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 Bilal Mobashar Shafi, MD?

Tedicare shows public-source Medicare data for Bilal Mobashar Shafi, MD (NPI 1306923123), 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 Bilal Mobashar Shafi, MD have ACO affiliation data?

Bilal Mobashar Shafi, MD is shown with ACO affiliation data for Sutter Medicare Direct (MSSP, ACO ID A5279).

What billing organization is linked to Bilal Mobashar Shafi, MD?

Bilal Mobashar Shafi, MD is linked to SUTTER BAY MEDICAL FOUNDATION (billing NPI 1013950807) in the available physician profile data.

Does Bilal Mobashar Shafi, MD have Open Payments data?

Bilal Mobashar Shafi, MD has 44 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.