Physician

Brian F Shay, MD

According to 2025 Medicare claims, Brian Shay, MD (NPI: 1770529067) practices urology in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Dearborn, IN. This provider's primary affiliated billing organization is TRI STATE UROLOGIC SERVICES PSC INC (NPI: 1275726580; TIN: 611257391) and primary practice location at 41017-5460. Shay is affiliated with the Healthcare Solutions Network (ACO ID: A3283) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Shay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 652 traditional Medicare patients, billed 5,434 HCPCS/CPT codes, and received $162,309 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,965 prescription claims across 522 beneficiaries totaling $361,267 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 31 claims. Open Payments data shows 79 records totaling $2,107. 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 $251,919 to $162,309. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $189,111 to $361,267. For DME billing, this smaller-volume category did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	795	7,939	$251,919
2016	643	6,318	$212,401
2017	746	8,472	$311,104
2018	746	8,599	$203,418
2019	760	9,064	$210,301
2020	732	7,731	$178,162
2021	731	6,734	$172,565
2022	661	4,536	$141,016
2023	673	4,815	$153,522
2024	652	5,434	$162,309

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	366	1,541	$189,111
2016	363	1,701	$216,117
2017	425	1,865	$198,695
2018	414	1,657	$179,785
2019	446	1,667	$300,187
2020	435	1,631	$193,469
2021	475	1,792	$249,170
2022	459	1,849	$545,912
2023	463	1,768	$594,232
2024	522	1,965	$361,267

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	13	90	$6,705
2016	11	105	$16,587
2017	30	99	$15,420
2018	N/R	69	$19,359
2019	N/R	71	$19,453
2020	54	136	$17,928
2021	28	91	$8,093
2022	N/R	23	$3,596
2023	38	114	$17,946
2024	N/R	31	$5,433

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	614	$91
84153	Psa (prostate specific antigen) measurement, total	118	153	$18
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	401	526	$12
51798	Ultrasound measurement of bladder capacity after voiding	172	189	$8
81002	Urinalysis, manual test	488	707	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	179	7,500	$113,530
Gemtesa	Vibegron	116	6,030	$96,628
Tamsulosin Hcl	Tamsulosin Hcl	568	42,506	$8,189
Premarin	Estrogens, Conjugated	11	585	$4,807
Oxybutynin Chloride Er	Oxybutynin Chloride	168	11,680	$4,383

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	18	$5,137
A4332	Lubricant, individual sterile packet, each	N	N/R	13	$296

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	79	$2,107	Axonics, 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 Brian F. Shay, MD?

Tedicare shows public-source Medicare data for Brian F. Shay, MD (NPI 1770529067), 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 F. Shay, MD have ACO affiliation data?

Brian F. Shay, MD is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Brian F. Shay, MD?

Brian F. Shay, MD is linked to TRI STATE UROLOGIC SERVICES PSC INC (billing NPI 1275726580) in the available physician profile data.

Does Brian F. Shay, MD have Open Payments data?

Brian F. Shay, MD has 79 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.