Physician

Rajiv Edlagan Shah, MD

According to 2025 Medicare claims, Rajiv Shah, MD (NPI: 1396986329) practices ophthalmology in the Greensboro-High Point, NC market, with the plurality of this provider's patient population coming from Guilford, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27401-1424. Shah is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 585 traditional Medicare patients, billed 11,216 HCPCS/CPT codes, and received $572,218 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 6,391 prescription claims across 798 beneficiaries totaling $11,839,169 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 144 records totaling $317,061. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $105,618 to $11,839,169. 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$436K$872K2015 Medicare payment: $872,036 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $610,599 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $496,782 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $417,599 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $501,099 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $379,351 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $490,552 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $408,157 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $414,861 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $572,218 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156404,884$872,036
20167373,502$610,599
20175783,461$496,782
20185463,346$417,599
20196373,742$501,099
20205973,246$379,351
20216453,794$490,552
20226043,488$408,157
20235567,641$414,861
202458511,216$572,218

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$5.9M$12M2015 Drug cost: $105,618 (USD; Tot_Drug_Cst)2016 Drug cost: $161,744 (USD; Tot_Drug_Cst)2017 Drug cost: $344,604 (USD; Tot_Drug_Cst)2018 Drug cost: $1,167,266 (USD; Tot_Drug_Cst)2019 Drug cost: $1,935,849 (USD; Tot_Drug_Cst)2020 Drug cost: $3,255,380 (USD; Tot_Drug_Cst)2021 Drug cost: $4,806,912 (USD; Tot_Drug_Cst)2022 Drug cost: $5,112,969 (USD; Tot_Drug_Cst)2023 Drug cost: $7,594,389 (USD; Tot_Drug_Cst)2024 Drug cost: $11,839,169 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151981,035$105,618
20162501,191$161,744
20172731,682$344,604
20183392,741$1,167,266
20194853,882$1,935,849
20205545,120$3,255,380
20216735,812$4,806,912
20227175,773$5,112,969
20237696,251$7,594,389
20247986,391$11,839,169

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
67028Injection of drug into eye145348$79
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more298474$76
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more234259$53
J2777Injection, faricimab-svoa, 0.1 mg548,220$26
92134Imaging of retina6261,078$23

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab59517,682$4,268,450
GammaplexImmun Glob G(Igg)/Gly/Iga 0-50862,381$2,244,165
OctagamImmun Globg(Igg)/Malt/Iga Ov50471,289$1,184,395
TepezzaTeprotumumab-Trbw16276$894,340
ActharCorticotropin16344$712,544

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.125$156,719Mallinckrodt Hospital Products Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.19$160,342Genentech, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Rajiv Edlagan Shah, MD?

Tedicare shows public-source Medicare data for Rajiv Edlagan Shah, MD (NPI 1396986329), 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 Rajiv Edlagan Shah, MD have ACO affiliation data?

Rajiv Edlagan Shah, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Rajiv Edlagan Shah, MD?

Rajiv Edlagan Shah, MD is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does Rajiv Edlagan Shah, MD have Open Payments data?

Rajiv Edlagan Shah, MD has 144 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.