Physician

Sangeeta Shah, MD

According to 2025 Medicare claims, Sangeeta Shah, MD (NPI: 1477765584) practices neurology in the Waterloo-Cedar Falls, IA market, with the plurality of this provider's patient population coming from Black Hawk, IA. This provider's primary affiliated billing organization is COVENANT MEDICAL CENTER INC (NPI: 1548288160; TIN: 421264647) and primary practice location at 50702-5619. Shah is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Genesis Accountable Care Organization, LLC. (ACO ID: A4799), Aledade 155 National MSSP (ACO ID: A5358), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), Main Street Rural Health Willow ACO LLC (ACO ID: A5404), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 970 traditional Medicare patients, billed 4,193 HCPCS/CPT codes, and received $188,988 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 8,274 prescription claims across 971 beneficiaries totaling $1,339,661 in drug costs, led by Tetrabenazine (Tetrabenazine). 2023 DME data shows 24 claims. Open Payments data shows 59 records totaling $964. 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. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $4,272 and ending at $1,628.

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$94K$189K2015 Medicare payment: $151,440 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $157,552 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $172,500 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $176,117 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $177,535 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $125,307 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $168,162 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $170,565 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $152,195 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $188,988 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159852,333$151,440
20161,0412,441$157,552
20171,1033,034$172,500
20181,1152,756$176,117
20191,1342,905$177,535
20209382,071$125,307
20219502,361$168,162
20221,0472,505$170,565
20239822,362$152,195
20249704,193$188,988

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$1.0M$2.1M2015 Drug cost: $1,227,357 (USD; Tot_Drug_Cst)2016 Drug cost: $1,839,760 (USD; Tot_Drug_Cst)2017 Drug cost: $1,936,049 (USD; Tot_Drug_Cst)2018 Drug cost: $2,051,534 (USD; Tot_Drug_Cst)2019 Drug cost: $1,994,750 (USD; Tot_Drug_Cst)2020 Drug cost: $2,080,213 (USD; Tot_Drug_Cst)2021 Drug cost: $1,707,889 (USD; Tot_Drug_Cst)2022 Drug cost: $1,860,424 (USD; Tot_Drug_Cst)2023 Drug cost: $1,624,769 (USD; Tot_Drug_Cst)2024 Drug cost: $1,339,661 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155685,520$1,227,357
20166426,156$1,839,760
20176416,217$1,936,049
20186536,324$2,051,534
20196545,688$1,994,750
20207035,798$2,080,213
20217765,911$1,707,889
20228556,562$1,860,424
20239207,446$1,624,769
20249718,274$1,339,661

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$436$8732023 Medicare payment: $873 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R24$873
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more142202$102
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more370370$86
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5911,202$64
95885Needle measurement of electrical activity in arm or leg muscles, limited study138175$13
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's8281,606$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TetrabenazineTetrabenazine551,640$129,619
KeppraLevetiracetam461,630$107,494
Austedo XrDeutetrabenazine14420$100,682
FingolimodFingolimod Hcl411,230$57,168
Emgality PenGalcanezumab-Gnlm522,160$49,545

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.59$964ABBVIE INC.
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

Explore More Providers

FAQ

What Medicare data is available for Sangeeta Shah, MD?

Tedicare shows public-source Medicare data for Sangeeta Shah, MD (NPI 1477765584), 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 Sangeeta Shah, MD have ACO affiliation data?

Sangeeta Shah, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Genesis Accountable Care Organization, LLC. (MSSP, ACO ID A4799), Aledade 155 National MSSP (MSSP, ACO ID A5358), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Sangeeta Shah, MD?

Sangeeta Shah, MD is linked to COVENANT MEDICAL CENTER INC (billing NPI 1548288160) in the available physician profile data.

Does Sangeeta Shah, MD have Open Payments data?

Sangeeta Shah, MD has 59 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.