Physician

Brian Jay Shimkus, MD

According to 2025 Medicare claims, Brian Shimkus, MD (NPI: 1730164591) practices medical oncology in the Austin-Round Rock-San Marcos, TX market, with the plurality of this provider's patient population coming from Williamson, TX. This provider's primary affiliated billing organization is AMERICAN ONCOLOGY PARTNERS PA (NPI: 1265929723; TIN: 824681345) and primary practice location at 78626-7642.

Shimkus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 522 traditional Medicare patients, billed 332,038 HCPCS/CPT codes, and received $7,424,053 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 2,386 prescription claims across 385 beneficiaries totaling $6,884,413 in drug costs, led by Erleada (Apalutamide). DME data shows 132 claims. Open Payments data shows 189 records totaling $4,292. 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 $3,551,640 to $7,424,053. Similarly, Part D prescription costs have risen steadily, from $1,277,778 to $6,884,413. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $11,772 to $10,195.

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$3.7M$7.4M2015 Medicare payment: $3,551,640 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $4,238,176 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,966,426 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $4,500,696 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $4,500,626 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $4,506,266 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,842,126 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $4,720,391 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,731,686 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $7,424,053 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015767342,206$3,551,640
2016757333,382$4,238,176
2017732377,536$3,966,426
2018742445,659$4,500,696
2019833385,390$4,500,626
2020825369,232$4,506,266
2021746351,447$4,842,126
2022727332,054$4,720,391
202345377,491$1,731,686
2024522332,038$7,424,053

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$3.4M$6.9M2015 Drug cost: $1,277,778 (USD; Tot_Drug_Cst)2016 Drug cost: $1,118,422 (USD; Tot_Drug_Cst)2017 Drug cost: $1,134,896 (USD; Tot_Drug_Cst)2018 Drug cost: $1,435,095 (USD; Tot_Drug_Cst)2019 Drug cost: $2,338,607 (USD; Tot_Drug_Cst)2020 Drug cost: $1,769,039 (USD; Tot_Drug_Cst)2021 Drug cost: $2,290,646 (USD; Tot_Drug_Cst)2022 Drug cost: $3,756,444 (USD; Tot_Drug_Cst)2023 Drug cost: $4,753,444 (USD; Tot_Drug_Cst)2024 Drug cost: $6,884,413 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152741,979$1,277,778
20162682,048$1,118,422
20172421,654$1,134,896
20183121,988$1,435,095
20193571,978$2,338,607
20203121,514$1,769,039
20213431,565$2,290,646
20223922,143$3,756,444
20233642,046$4,753,444
20243852,386$6,884,413

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$127K$255K2015 Medicare payment: $16,279 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,385 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $3,347 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,075 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,568 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $254,642 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201524116$16,279
2016N/R25$2,385
2017N/R44$3,347
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R41$3,075
2021N/R11$1,568
2022N/RN/RN/R
2023N/RN/RN/R
2024120132$254,642

* / # = 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 more165165$144
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4231,599$118
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more200309$83
36415Insertion of needle into vein for collection of blood sample4922,470$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4812,535$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ErleadaApalutamide802,400$1,100,664
RevlimidLenalidomide471,211$702,203
XtandiEnzalutamide631,950$685,664
PomalystPomalidomide24672$515,710
ImbruvicaIbrutinib28784$450,329

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4353Intermittent urinary catheter, with insertion suppliesN120120$253,800
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R12$841

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.189$4,292Janssen Biotech, 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 Brian Jay Shimkus, MD?

Tedicare shows public-source Medicare data for Brian Jay Shimkus, MD (NPI 1730164591), 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 Brian Jay Shimkus, MD have ACO affiliation data?

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

What billing organization is linked to Brian Jay Shimkus, MD?

Brian Jay Shimkus, MD is linked to AMERICAN ONCOLOGY PARTNERS PA (billing NPI 1265929723) in the available physician profile data.

Does Brian Jay Shimkus, MD have Open Payments data?

Brian Jay Shimkus, MD has 189 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.