Physician

Riddhi Jay Shah, D.O.

According to 2025 Medicare claims, Riddhi Shah, D.O. (NPI: 1568504397) practices dermatology in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is PROSPERITY MEDICAL, PLLC (NPI: 1528837218; TIN: 934515635) and primary practice location at 49085-9136. Shah is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 664 traditional Medicare patients, billed 2,808 HCPCS/CPT codes, and received $137,457 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 1,323 prescription claims across 492 beneficiaries totaling $704,700 in drug costs, led by Otezla (Apremilast). Open Payments data shows 33 records totaling $843. 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 $10,532 to $137,457. Similarly, Part D prescription costs have risen steadily, from $6,529 to $704,700. 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$69K$137K2016 Medicare payment: $10,532 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $69,892 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $98,569 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $101,703 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $98,636 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $109,006 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $88,739 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $103,355 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $137,457 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201662235$10,532
20174021,467$69,892
20185272,038$98,569
20195212,379$101,703
20205061,966$98,636
20215472,166$109,006
20224951,878$88,739
20234951,963$103,355
20246642,808$137,457

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$352K$705K2015 Drug cost: $6,529 (USD; Tot_Drug_Cst)2016 Drug cost: $3,187 (USD; Tot_Drug_Cst)2017 Drug cost: $30,739 (USD; Tot_Drug_Cst)2018 Drug cost: $56,814 (USD; Tot_Drug_Cst)2019 Drug cost: $295,023 (USD; Tot_Drug_Cst)2020 Drug cost: $261,066 (USD; Tot_Drug_Cst)2021 Drug cost: $408,608 (USD; Tot_Drug_Cst)2022 Drug cost: $573,633 (USD; Tot_Drug_Cst)2023 Drug cost: $517,731 (USD; Tot_Drug_Cst)2024 Drug cost: $704,700 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153784$6,529
201646129$3,187
2017172447$30,739
2018190450$56,814
2019271764$295,023
2020306849$261,066
2021305811$408,608
2022310913$573,633
20233751,017$517,731
20244921,323$704,700

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more145145$80
11102Biopsy of related skin growth, first growth164184$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more394516$66
17000Destruction of precancer skin growth, 1 growth218255$39
17003Destruction of precancer skin growth, 2-14 growths175912$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OtezlaApremilast30898$142,748
Cosentyx Unoready PenSecukinumab11308$81,985
Dupixent PenDupilumab19534$69,704
FluorouracilFluorouracil832,616$5,607
Clobetasol PropionateClobetasol Propionate1323,729$4,108

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.33$843ABBVIE 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

FAQ

What Medicare data is available for Riddhi Jay Shah, D.O.?

Tedicare shows public-source Medicare data for Riddhi Jay Shah, D.O. (NPI 1568504397), 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 Riddhi Jay Shah, D.O. have ACO affiliation data?

Riddhi Jay Shah, D.O. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Riddhi Jay Shah, D.O.?

Riddhi Jay Shah, D.O. is linked to PROSPERITY MEDICAL, PLLC (billing NPI 1528837218) in the available physician profile data.

Does Riddhi Jay Shah, D.O. have Open Payments data?

Riddhi Jay Shah, D.O. has 33 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.