Physician

Parth H Shah, MD

According to 2025 Medicare claims, Parth Shah, MD (NPI: 1558596742) practices family practice in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is JENNIE STUART MEDICAL CENTER (NPI: 1750619045; TIN: 610482973) and primary practice location at 42240-1965. Shah is affiliated with the Baptist Health Care Partners, LLC (ACO ID: A2975) and Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 396 traditional Medicare patients, billed 1,455 HCPCS/CPT codes, and received $112,296 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 392 prescription claims across 201 beneficiaries totaling $16,347 in drug costs, led by Eliquis (Apixaban). DME data shows 518 claims. Open Payments data shows 4 records totaling $119. 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 declined steadily, from $164,103 to $112,296. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $35,229 and ending at $16,347. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $20,508 and ending at $190,454.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	624	2,471	$164,103
2016	537	2,127	$142,420
2017	558	2,186	$149,389
2018	625	2,400	$174,136
2019	546	2,172	$169,311
2020	375	1,251	$97,576
2021	335	1,127	$84,801
2022	411	1,475	$110,287
2023	464	1,655	$121,574
2024	396	1,455	$112,296

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	214	452	$35,229
2016	169	387	$18,077
2017	175	350	$19,266
2018	184	379	$19,856
2019	170	372	$17,408
2020	109	273	$14,657
2021	139	229	$10,434
2022	162	328	$16,927
2023	162	436	$24,893
2024	201	392	$16,347

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	26	173	$12,799
2016	13	155	$7,335
2017	69	348	$13,765
2018	76	369	$31,099
2019	44	327	$24,744
2020	12	196	$20,364
2021	11	99	$13,988
2022	N/R	47	$13,086
2023	N/R	80	$21,196
2024	402	518	$337,425

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	101	106	$123
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	136	143	$92
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	186	$86
99239	Hospital discharge day management, more than 30 minutes	159	171	$83
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	409	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	14	340	$6,712
Cefdinir	Cefdinir	33	188	$354
Levofloxacin	Levofloxacin	13	72	$249
Prednisone	Prednisone	38	251	$69
Furosemide	Furosemide	31	888	$63

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	120	120	$131,692
L1852	Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf	N	62	62	$74,462
L0651	Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf	N	53	53	$46,553
L3916	Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf	N	56	56	$27,371
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	111	111	$26,994

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$119	AstraZeneca Pharmaceuticals LP
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 Parth H. Shah, MD?

Tedicare shows public-source Medicare data for Parth H. Shah, MD (NPI 1558596742), 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 Parth H. Shah, MD have ACO affiliation data?

Parth H. Shah, MD is shown with ACO affiliation data for Baptist Health Care Partners, LLC (MSSP, ACO ID A2975) and Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Parth H. Shah, MD?

Parth H. Shah, MD is linked to JENNIE STUART MEDICAL CENTER (billing NPI 1750619045) in the available physician profile data.

Does Parth H. Shah, MD have Open Payments data?

Parth H. Shah, MD has 4 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.