Physician

Sajjad H Shah, M.DM

According to 2025 Medicare claims, Sajjad Shah, M.DM (NPI: 1770502155) practices pulmonary disease in the Reading, PA market, with the plurality of this provider's patient population coming from Berks, PA. This provider's primary affiliated billing organization is RESPIRATORY SPECIALISTS LTD (NPI: 1801816152; TIN: 23-2197079) and primary practice location at 19610-3333.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,053 traditional Medicare patients, billed 3,645 HCPCS/CPT codes, and received $221,266 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 1,804 prescription claims across 256 beneficiaries totaling $1,039,946 in drug costs, led by Prolastin C (Alpha-1-Proteinase Inhibitor). DME data shows 4,323 claims. Open Payments data shows 65 records totaling $1,784. 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 $450,780 to $1,039,946. For DME billing, reported payments moved sharply higher in recent years, from $136,910 to $170,687.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	920	2,058	$210,137
2016	962	2,132	$218,157
2017	965	2,207	$218,354
2018	940	2,381	$225,157
2019	839	2,953	$218,629
2020	758	2,677	$202,151
2021	826	2,168	$191,153
2022	1,042	2,537	$244,831
2023	1,033	2,854	$228,402
2024	1,053	3,645	$221,266

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	158	1,040	$450,780
2016	156	982	$610,398
2017	172	926	$597,256
2018	167	981	$634,767
2019	170	1,072	$540,843
2020	216	1,265	$587,191
2021	207	1,481	$923,934
2022	217	1,502	$1,151,996
2023	224	1,519	$1,183,994
2024	256	1,804	$1,039,946

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,197	2,435	$145,155
2016	968	2,070	$75,181
2017	1,215	2,746	$75,495
2018	1,403	3,044	$85,118
2019	1,627	3,507	$99,622
2020	1,720	3,458	$120,485
2021	1,630	3,200	$123,393
2022	1,704	3,389	$142,182
2023	1,845	4,010	$186,002
2024	1,993	4,323	$179,445

* / # = 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
99291	Critical care, first 30-74 minutes	80	163	$148
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	131	136	$115
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	245	498	$82
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	472	$77
96160	Administration and interpretation of patient-focused health risk assessment	426	632	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolastin C	Alpha-1-Proteinase Inhibitor	26	686	$237,457
Glassia	Alpha-1-Proteinase Inhibitor	13	364	$168,000
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	172	6,600	$136,477
Zemaira	Alpha-1-Proteinase Inhibitor	12	336	$108,362
Breo Ellipta	Fluticasone/Vilanterol	114	4,740	$59,173

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
A7030	Full face mask used with positive airway pressure device, each	N	163	322	$25,568
A7031	Face mask interface, replacement for full face mask, each	N	158	396	$24,815
A7032	Cushion for use on nasal mask interface, replacement only, each	N	103	209	$18,384
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	241	501	$18,368
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	143	286	$14,504

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	65	$1,784	Regeneron Healthcare Solutions, Inc.
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 Sajjad H. Shah, M.DM?

Tedicare shows public-source Medicare data for Sajjad H. Shah, M.DM (NPI 1770502155), 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 Sajjad H. Shah, M.DM have ACO affiliation data?

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

What billing organization is linked to Sajjad H. Shah, M.DM?

Sajjad H. Shah, M.DM is linked to RESPIRATORY SPECIALISTS LTD (billing NPI 1801816152) in the available physician profile data.

Does Sajjad H. Shah, M.DM have Open Payments data?

Sajjad H. Shah, M.DM has 65 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.