Physician

Chetan K Shah, DO

According to 2025 Medicare claims, Chetan Shah, DO (NPI: 1518971936) practices nephrology in the Atlantic City-Hammonton, NJ market, with the plurality of this provider's patient population coming from Atlantic, NJ. This provider's primary affiliated billing organization is SPECIALTY MEDCONSULTANTS LLC (NPI: 1831520931; TIN: 463579776) and primary practice location at 08406-2166.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 567 traditional Medicare patients, billed 3,628 HCPCS/CPT codes, and received $309,931 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,423 prescription claims across 254 beneficiaries totaling $141,625 in drug costs, led by Farxiga (Dapagliflozin Propanediol). 2021 DME data shows 11 claims. Open Payments data shows 17 records totaling $619. 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 $524,288 to $309,931. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $434,205 to $141,625. 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$262K$524K2015 Medicare payment: $524,288 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $458,226 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $492,539 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $488,995 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $478,960 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $453,899 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $422,064 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $268,186 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $231,831 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $309,931 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156835,699$524,288
20166584,808$458,226
20176565,132$492,539
20186664,959$488,995
20195874,852$478,960
20205464,542$453,899
20215603,795$422,064
20225642,654$268,186
20235492,326$231,831
20245673,628$309,931

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$220K$440K2015 Drug cost: $434,205 (USD; Tot_Drug_Cst)2016 Drug cost: $327,094 (USD; Tot_Drug_Cst)2017 Drug cost: $439,592 (USD; Tot_Drug_Cst)2018 Drug cost: $268,683 (USD; Tot_Drug_Cst)2019 Drug cost: $204,960 (USD; Tot_Drug_Cst)2020 Drug cost: $206,705 (USD; Tot_Drug_Cst)2021 Drug cost: $156,843 (USD; Tot_Drug_Cst)2022 Drug cost: $85,558 (USD; Tot_Drug_Cst)2023 Drug cost: $96,590 (USD; Tot_Drug_Cst)2024 Drug cost: $141,625 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152432,233$434,205
20162171,763$327,094
20172802,170$439,592
20182572,220$268,683
20192611,964$204,960
20202281,644$206,705
20212381,539$156,843
20222201,264$85,558
20232211,252$96,590
20242541,423$141,625

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$173$3472015 Medicare payment: $342 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $347 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R11$342
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R11$347
2022N/RN/RN/R
2023N/RN/RN/R
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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes123140$142
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more207577$115
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes199464$97
G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)120121$43
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's119175$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol251,650$28,400
LokelmaSodium Zirconium Cyclosilicate16493$13,693
Sevelamer CarbonateSevelamer Carbonate362,310$10,331
Carvedilol ErCarvedilol Phosphate11810$5,352
Calcium AcetateCalcium Acetate151,290$2,372

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.17$619AstraZeneca Pharmaceuticals LP
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 Chetan K. Shah, DO?

Tedicare shows public-source Medicare data for Chetan K. Shah, DO (NPI 1518971936), 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 Chetan K. Shah, DO have ACO affiliation data?

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

What billing organization is linked to Chetan K. Shah, DO?

Chetan K. Shah, DO is linked to SPECIALTY MEDCONSULTANTS LLC (billing NPI 1831520931) in the available physician profile data.

Does Chetan K. Shah, DO have Open Payments data?

Chetan K. Shah, DO has 17 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.