Physician

Shawn Shambaugh, M.D.

According to 2025 Medicare claims, Shawn Shambaugh, M.D. (NPI: 1659360253) practices hematology/oncology in the Bakersfield-Delano, CA market, with the plurality of this provider's patient population coming from Kern, CA. This provider's primary affiliated billing organization is RAVI PATEL M.D. INC (NPI: 1912978834; TIN: 770356364) and primary practice location at 93309-0633.

Shambaugh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,106 traditional Medicare patients, billed 51,826 HCPCS/CPT codes, and received $894,078 in Medicare payments. The top billing code was 80053 (Blood test, comprehensive group of blood chemicals). Part D data shows 679 prescription claims across 112 beneficiaries totaling $4,414,620 in drug costs, led by Imbruvica (Ibrutinib). 2022 DME data shows 12 claims. Open Payments data shows 269 records totaling $6,160. 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 $1,418,090 to $894,078. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $713,274 to $4,414,620. 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	822	65,341	$1,418,090
2016	853	74,519	$1,538,958
2017	912	70,197	$1,527,907
2018	1,021	67,233	$1,458,392
2019	1,123	73,863	$1,487,022
2020	1,099	66,986	$1,343,133
2021	1,076	57,783	$1,201,002
2022	1,026	54,638	$1,105,768
2023	1,080	51,266	$989,413
2024	1,106	51,826	$894,078

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	124	622	$713,274
2016	128	614	$1,230,295
2017	116	588	$1,158,513
2018	122	626	$2,508,288
2019	135	772	$3,940,485
2020	115	687	$3,542,371
2021	90	522	$2,948,086
2022	111	583	$2,856,991
2023	105	613	$3,820,866
2024	112	679	$4,414,620

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	64	$19,199
2016	N/R	11	$537
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	15	$183
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	12	$164
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
80053	Blood test, comprehensive group of blood chemicals	986	3,288	$10
36415	Insertion of needle into vein for collection of blood sample	1,013	3,066	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,016	3,599	$8
83615	Lactate dehydrogenase (enzyme) level	945	3,263	$6
84550	Uric acid level, blood	944	3,264	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Imbruvica	Ibrutinib	57	1,618	$960,539
Xtandi	Enzalutamide	48	1,440	$654,699
Revlimid	Lenalidomide	38	1,064	$532,129
Calquence	Acalabrutinib Maleate	24	720	$300,854
Jakafi	Ruxolitinib Phosphate	25	750	$290,100

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.	269	$6,160	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 Shawn Shambaugh, M.D.?

Tedicare shows public-source Medicare data for Shawn Shambaugh, M.D. (NPI 1659360253), 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 Shawn Shambaugh, M.D. have ACO affiliation data?

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

What billing organization is linked to Shawn Shambaugh, M.D.?

Shawn Shambaugh, M.D. is linked to RAVI PATEL M.D. INC (billing NPI 1912978834) in the available physician profile data.

Does Shawn Shambaugh, M.D. have Open Payments data?

Shawn Shambaugh, M.D. has 269 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.