Physician

Michael Leigh Shea, MD

According to 2025 Medicare claims, Michael Shea, MD (NPI: 1659530178) practices cardiology in the Dover, DE market, with the plurality of this provider's patient population coming from Kent, DE. This provider's primary affiliated billing organization is CARDIOLOGY PHYSICIANS, LLC (NPI: 1952338212; TIN: 510363108) and primary practice location at 19901-4103. Shea is affiliated with the UM ACO (ACO ID: A2754) and eBrightHealth ACO (ACO ID: A3053), participating under the MSSP model.

Shea's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,454 traditional Medicare patients, billed 6,584 HCPCS/CPT codes, and received $365,370 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 7,853 prescription claims across 833 beneficiaries totaling $1,372,228 in drug costs, led by Eliquis (Apixaban). DME data shows 11 claims. Open Payments data shows 73 records totaling $1,050. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $353,107 to $1,372,228. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $41,468 and ending at $31,308.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,789	7,481	$386,045
2016	1,992	8,029	$420,897
2017	2,063	8,029	$403,895
2018	2,029	7,348	$359,731
2019	2,349	8,032	$415,620
2020	2,070	7,136	$387,089
2021	2,143	7,668	$434,486
2022	1,813	6,945	$362,969
2023	1,681	7,208	$441,951
2024	1,454	6,584	$365,370

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	459	4,092	$353,107
2016	515	4,374	$411,262
2017	542	4,526	$394,348
2018	599	4,760	$492,119
2019	604	5,098	$553,338
2020	612	5,460	$634,726
2021	678	5,913	$774,394
2022	751	6,396	$993,734
2023	829	7,360	$1,256,020
2024	833	7,853	$1,372,228

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	20	$41,468
2017	N/R	N/R	N/R
2018	N/R	24	$48,187
2019	N/R	18	$36,650
2020	N/R	13	$27,501
2021	N/R	28	$58,629
2022	N/R	14	$30,397
2023	N/R	N/R	N/R
2024	N/R	11	$29,633

* / # = 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
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	372	381	$126
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	285	412	$124
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	774	1,393	$87
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	886	1,767	$10
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	273	325	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	346	22,342	$425,361
Xarelto	Rivaroxaban	150	10,383	$186,498
Jardiance	Empagliflozin	100	6,882	$128,580
Multaq	Dronedarone Hcl	70	5,017	$125,121
Entresto	Sacubitril/Valsartan	75	5,730	$122,295

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
K0606	Automatic external defibrillator, with integrated electrocardiogram analysis, garment type	Y	N/R	11	$29,633

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	73	$1,050	Novartis Pharmaceuticals Corporation
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 Michael Leigh Shea, MD?

Tedicare shows public-source Medicare data for Michael Leigh Shea, MD (NPI 1659530178), 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 Michael Leigh Shea, MD have ACO affiliation data?

Michael Leigh Shea, MD is shown with ACO affiliation data for UM ACO (MSSP, ACO ID A2754) and eBrightHealth ACO (MSSP, ACO ID A3053).

What billing organization is linked to Michael Leigh Shea, MD?

Michael Leigh Shea, MD is linked to CARDIOLOGY PHYSICIANS, LLC (billing NPI 1952338212) in the available physician profile data.

Does Michael Leigh Shea, MD have Open Payments data?

Michael Leigh Shea, MD has 73 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.