Physician

Atit Shah, MD

According to 2025 Medicare claims, Atit Shah, MD (NPI: 1487881108) practices pain management in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is WISCONSIN SPINE AND PAIN SC (NPI: 1790309276; TIN: 851108519) and primary practice location at 53081-3174.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 187 traditional Medicare patients, billed 1,308 HCPCS/CPT codes, and received $69,708 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 1,003 prescription claims across 283 beneficiaries totaling $128,129 in drug costs, led by Belbuca (Buprenorphine Hcl). 2016 DME data shows 12 claims. Open Payments data shows 143 records totaling $47,222. 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 moved up and down with repeated peaks and valleys, starting at $132,872 and ending at $69,708. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $175,842 to $128,129. 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	263	2,262	$132,872
2016	305	1,883	$151,073
2017	306	2,806	$154,143
2018	296	3,158	$151,126
2019	271	1,689	$141,502
2020	196	880	$75,507
2021	216	4,535	$179,315
2022	230	1,726	$100,805
2023	189	1,529	$90,421
2024	187	1,308	$69,708

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	384	2,199	$175,842
2016	384	2,201	$199,165
2017	438	2,157	$195,446
2018	353	1,787	$137,280
2019	339	1,713	$130,152
2020	283	1,164	$76,892
2021	352	2,484	$192,163
2022	452	3,390	$342,244
2023	367	2,354	$326,001
2024	283	1,003	$128,129

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	12	$327
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	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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$75
27096	Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	45	84	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	77	118	$58
20610	Aspiration and/or injection of fluid from large joint	41	79	$48
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	273	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Belbuca	Buprenorphine Hcl	44	1,193	$34,597
Nucynta	Tapentadol Hcl	27	687	$23,891
Buprenorphine	Buprenorphine	50	1,332	$14,844
Xtampza Er	Oxycodone Myristate	13	255	$4,299
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	183	3,773	$3,428

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.	143	$47,222	SI-BONE, 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 Atit Shah, MD?

Tedicare shows public-source Medicare data for Atit Shah, MD (NPI 1487881108), 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 Atit Shah, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Atit Shah, MD?

Atit Shah, MD is linked to WISCONSIN SPINE AND PAIN SC (billing NPI 1790309276) in the available physician profile data.

Does Atit Shah, MD have Open Payments data?

Atit Shah, MD has 143 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.