Physician

Hiren P Shah, MD

According to 2025 Medicare claims, Hiren Shah, MD (NPI: 1437271426) practices cardiology in the Columbus, GA-AL market, with the plurality of this provider's patient population coming from Muscogee, GA. This provider's primary affiliated billing organization is COLUMBUS CARDIOLOGY ASSOCIATES, PC (NPI: 1407947625; TIN: 581905273) and primary practice location at 31904-6877. Shah is affiliated with the Emory Healthcare Network Advantage (ACO ID: A4771), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,147 traditional Medicare patients, billed 10,601 HCPCS/CPT codes, and received $734,390 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 4,615 prescription claims across 667 beneficiaries totaling $862,645 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 24 claims. Open Payments data shows 130 records totaling $80,171. 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 $120,741 to $862,645. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $26,190 and ending at $23,010.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,182	5,170	$264,893
2016	1,953	8,563	$584,247
2017	2,070	13,788	$1,179,161
2018	1,944	18,213	$1,606,002
2019	1,953	18,234	$1,836,258
2020	1,368	11,991	$1,250,327
2021	1,515	11,150	$1,218,844
2022	1,341	10,014	$1,000,220
2023	1,288	9,925	$824,966
2024	1,147	10,601	$734,390

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	322	2,449	$120,741
2016	355	2,855	$165,605
2017	414	3,629	$259,788
2018	391	3,069	$280,160
2019	447	2,872	$289,365
2020	470	3,036	$336,904
2021	577	3,276	$422,522
2022	625	4,019	$569,397
2023	670	4,485	$749,674
2024	667	4,615	$862,645

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	27	$26,118
2016	N/R	17	$36,559
2017	N/R	11	$19,638
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	11	$19,169
2021	N/R	24	$877
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	351	356	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	692	1,201	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	244	275	$58
93015	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	232	233	$47
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	644	892	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	373	17,079	$329,233
Repatha Sureclick	Evolocumab	162	8,480	$160,541
Xarelto	Rivaroxaban	63	4,650	$85,068
Entresto	Sacubitril/Valsartan	72	3,321	$74,073
Brilinta	Ticagrelor	70	3,470	$50,728

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	130	$80,171	Amgen Inc.
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 Hiren P. Shah, MD?

Tedicare shows public-source Medicare data for Hiren P. Shah, MD (NPI 1437271426), 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 Hiren P. Shah, MD have ACO affiliation data?

Hiren P. Shah, MD is shown with ACO affiliation data for Emory Healthcare Network Advantage (MSSP, ACO ID A4771).

What billing organization is linked to Hiren P. Shah, MD?

Hiren P. Shah, MD is linked to COLUMBUS CARDIOLOGY ASSOCIATES, PC (billing NPI 1407947625) in the available physician profile data.

Does Hiren P. Shah, MD have Open Payments data?

Hiren P. Shah, MD has 130 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.