Physician

Grace L. Shih, M.D.

According to 2025 Medicare claims, Grace Shih, M.D. (NPI: 1528004447) practices gastroenterology in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Frederick, VA. This provider's primary affiliated billing organization is WINCHESTER GASTROENTEROLOGY ASSOCIATES (NPI: 1740248525; TIN: 541519210) and primary practice location at 22601-2872. Shih is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Shih's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 934 traditional Medicare patients, billed 9,990 HCPCS/CPT codes, and received $317,604 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 632 prescription claims across 210 beneficiaries totaling $1,207,940 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 116 records totaling $1,825. 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 risen steadily, from $250,745 to $317,604. Similarly, Part D prescription costs have risen steadily, from $115,749 to $1,207,940. 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	896	2,763	$250,745
2016	918	2,917	$203,360
2017	788	3,493	$191,301
2018	838	3,980	$212,386
2019	915	7,414	$300,791
2020	734	8,818	$287,490
2021	890	8,910	$288,334
2022	974	10,832	$316,825
2023	1,001	7,591	$278,954
2024	934	9,990	$317,604

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	206	626	$115,749
2016	219	697	$157,244
2017	160	549	$123,432
2018	174	553	$110,339
2019	218	666	$162,892
2020	216	666	$148,324
2021	188	539	$330,440
2022	186	535	$386,686
2023	168	472	$283,245
2024	210	632	$1,207,940

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	306	306	$212
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	79	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	105	$94
45380	Biopsy of large bowel using a flexible endoscope	312	312	$90
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	221	230	$78

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Stelara	Ustekinumab	37	1,642	$940,898
Linzess	Linaclotide	27	2,010	$35,769
Dexlansoprazole Dr	Dexlansoprazole	17	1,110	$4,161
Omeprazole	Omeprazole	151	11,988	$1,952
Azathioprine	Azathioprine	15	1,083	$1,017

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.	116	$1,825	ABBVIE 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 Grace L. Shih, M.D.?

Tedicare shows public-source Medicare data for Grace L. Shih, M.D. (NPI 1528004447), 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 Grace L. Shih, M.D. have ACO affiliation data?

Grace L. Shih, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Grace L. Shih, M.D.?

Grace L. Shih, M.D. is linked to WINCHESTER GASTROENTEROLOGY ASSOCIATES (billing NPI 1740248525) in the available physician profile data.

Does Grace L. Shih, M.D. have Open Payments data?

Grace L. Shih, M.D. has 116 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.