Physician

Rupen Ashok Kumar Shah, M.D.

According to 2025 Medicare claims, Rupen Shah, M.D. (NPI: 1679705339) practices surgical oncology in the Detroit-Dearborn-Livonia, MI market, with the plurality of this provider's patient population coming from Wayne, MI. This provider's primary affiliated billing organization is HENRY FORD HEALTH SYSTEM (NPI: 1508942525; TIN: 38-1357020) and primary practice location at 48202-2608. Shah is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 49 traditional Medicare patients, billed 105 HCPCS/CPT codes, and received $19,348 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 57 prescription claims across 26 beneficiaries totaling $17,635 in drug costs. Open Payments data shows 8 records totaling $1,770. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $493 to $17,635. 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$26K$52K2017 Medicare payment: $3,913 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $22,890 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $51,926 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $37,785 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $34,040 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $32,446 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $28,147 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $19,348 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20171830$3,913
201865137$22,890
2019124264$51,926
202091168$37,785
202184167$34,040
202273116$32,446
202349108$28,147
202449105$19,348

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$8.8K$18K2015 Drug cost: $493 (USD; Tot_Drug_Cst)2016 Drug cost: $366 (USD; Tot_Drug_Cst)2017 Drug cost: $313 (USD; Tot_Drug_Cst)2018 Drug cost: $1,456 (USD; Tot_Drug_Cst)2019 Drug cost: $3,090 (USD; Tot_Drug_Cst)2020 Drug cost: $2,311 (USD; Tot_Drug_Cst)2021 Drug cost: $9,248 (USD; Tot_Drug_Cst)2022 Drug cost: $1,247 (USD; Tot_Drug_Cst)2023 Drug cost: $4,534 (USD; Tot_Drug_Cst)2024 Drug cost: $17,635 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152130$493
20163142$366
20171316$313
20182537$1,456
20192759$3,090
20203073$2,311
20213775$9,248
20222361$1,247
20232767$4,534
20242657$17,635

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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more1414$138
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1316$78

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.8$1,770INTUITIVE SURGICAL, 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 Rupen Ashok Kumar Shah, M.D.?

Tedicare shows public-source Medicare data for Rupen Ashok Kumar Shah, M.D. (NPI 1679705339), 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 Rupen Ashok Kumar Shah, M.D. have ACO affiliation data?

Rupen Ashok Kumar Shah, M.D. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Rupen Ashok Kumar Shah, M.D.?

Rupen Ashok Kumar Shah, M.D. is linked to HENRY FORD HEALTH SYSTEM (billing NPI 1508942525) in the available physician profile data.

Does Rupen Ashok Kumar Shah, M.D. have Open Payments data?

Rupen Ashok Kumar Shah, M.D. has 8 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.