Physician

Adit Shah, MD

According to 2025 Medicare claims, Adit Shah, MD (NPI: 1447778642) practices urology in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Hudson, NJ. This provider's primary affiliated billing organization is BARNABAS HEALTH MEDICAL GROUP PC (NPI: 1841557246; TIN: 454832340) and primary practice location at 07302-4240. Shah is affiliated with the RWJBH Accountable Care, LLC (ACO ID: A1247), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 54 traditional Medicare patients, billed 123 HCPCS/CPT codes, and received $21,402 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 343 prescription claims across 96 beneficiaries totaling $13,275 in drug costs, led by Myrbetriq (Mirabegron). Open Payments data shows 6 records totaling $123. 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 fallen sharply in recent years, from $14,082 to $21,402. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $4,272 and ending at $13,275. 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$32K$64K2020 Medicare payment: $14,082 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $54,588 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $63,578 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $5,810 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,402 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202047128$14,082
2021159856$54,588
2022171697$63,578
20233548$5,810
202454123$21,402

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$20K$40K2018 Drug cost: $4,272 (USD; Tot_Drug_Cst)2019 Drug cost: $1,053 (USD; Tot_Drug_Cst)2020 Drug cost: $13,188 (USD; Tot_Drug_Cst)2021 Drug cost: $24,213 (USD; Tot_Drug_Cst)2022 Drug cost: $39,619 (USD; Tot_Drug_Cst)2023 Drug cost: $13,760 (USD; Tot_Drug_Cst)2024 Drug cost: $13,275 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201885185$4,272
20195590$1,053
20203663$13,188
2021105382$24,213
2022127510$39,619
202375285$13,760
202496343$13,275

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3838$134
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2850$105

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron17510$7,818
Oxybutynin Chloride ErOxybutynin Chloride803,180$1,404
EstradiolEstradiol18695$811
Tamsulosin HclTamsulosin Hcl873,990$564
FinasterideFinasteride402,340$318

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.6$123Merck Sharp & Dohme LLC
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 Adit Shah, MD?

Tedicare shows public-source Medicare data for Adit Shah, MD (NPI 1447778642), 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 Adit Shah, MD have ACO affiliation data?

Adit Shah, MD is shown with ACO affiliation data for RWJBH Accountable Care, LLC (MSSP, ACO ID A1247), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Adit Shah, MD?

Adit Shah, MD is linked to BARNABAS HEALTH MEDICAL GROUP PC (billing NPI 1841557246) in the available physician profile data.

Does Adit Shah, MD have Open Payments data?

Adit Shah, MD has 6 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.