Physician

Michel Shami, M.D.

According to 2025 Medicare claims, Michel Shami, M.D. (NPI: 1780683227) practices ophthalmology in the Lubbock, TX market, with the plurality of this provider's patient population coming from Lubbock, TX. This provider's primary affiliated billing organization is TEXAS RETINA ASSOCIATES (NPI: 1093750853; TIN: 751362336) and primary practice location at 79424-5013.

Shami's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,109 traditional Medicare patients, billed 39,467 HCPCS/CPT codes, and received $2,119,896 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 1,041 prescription claims across 307 beneficiaries totaling $53,988 in drug costs, led by Prolensa (Bromfenac Sodium). Open Payments data shows 10 records totaling $195. 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 $1,012,249 to $2,119,896. In contrast, Part D prescription costs have declined steadily, from $112,285 to $53,988. 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.

Year	Patients	Clm Lines	Payment
2015	1,833	11,285	$1,012,249
2016	1,301	8,633	$819,634
2017	1,207	9,654	$1,159,802
2018	1,184	11,481	$1,282,340
2019	1,131	10,487	$1,452,956
2020	1,140	9,416	$1,373,814
2021	1,161	9,222	$1,403,968
2022	1,119	13,780	$1,577,115
2023	1,141	28,337	$1,996,287
2024	1,109	39,467	$2,119,896

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	226	917	$112,285
2016	179	732	$93,157
2017	194	714	$86,224
2018	223	713	$81,709
2019	217	815	$92,146
2020	231	881	$79,552
2021	263	978	$78,891
2022	280	1,149	$67,264
2023	278	967	$63,247
2024	307	1,041	$53,988

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
92004	New patient complete exam of visual system	262	262	$107
67028	Injection of drug into eye	356	1,107	$90
92014	Established patient complete exam of visual system	626	867	$87
92012	Established patient problem focused exam of visual system	322	511	$62
92134	Imaging of retina	1,076	2,699	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolensa	Bromfenac Sodium	25	1,439	$9,455
Prednisolone Acetate	Prednisolone Acetate	139	5,855	$6,469
Bromfenac Sodium	Bromfenac Sodium	33	1,211	$4,821
Dorzolamide Hcl	Dorzolamide Hcl	227	13,392	$4,771
Tobramycin-Dexamethasone	Tobramycin/Dexamethasone	111	2,410	$4,580

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$195	Bausch & Lomb Americas 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 Michel Shami, M.D.?

Tedicare shows public-source Medicare data for Michel Shami, M.D. (NPI 1780683227), 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 Michel Shami, M.D. have ACO affiliation data?

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

What billing organization is linked to Michel Shami, M.D.?

Michel Shami, M.D. is linked to TEXAS RETINA ASSOCIATES (billing NPI 1093750853) in the available physician profile data.

Does Michel Shami, M.D. have Open Payments data?

Michel Shami, M.D. has 10 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.