Physician

Atul P Shah, MD

According to 2025 Medicare claims, Atul Shah, MD (NPI: 1851406227) practices internal medicine in the Weirton-Steubenville, WV-OH market, with the plurality of this provider's patient population coming from Jefferson, OH. This provider's primary affiliated billing organization is WMC PHYSICIAN PRACTICES LLC (NPI: 1518303288; TIN: 461883875) and primary practice location at 43953-3779. Shah is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 294 traditional Medicare patients, billed 1,637 HCPCS/CPT codes, and received $117,157 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 12,860 prescription claims across 486 beneficiaries totaling $1,256,601 in drug costs, led by Eliquis (Apixaban). DME data shows 216 claims. Open Payments data shows 96 records totaling $2,041. 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 moved from a higher plateau to a lower plateau, from $285,291 to $117,157. In contrast, Part D prescription costs have risen steadily, from $997,811 to $1,256,601. For DME billing, this smaller-volume category moved up and down with repeated peaks and valleys, starting at $21,159 and ending at $18,494.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	613	5,277	$285,291
2016	521	4,748	$215,049
2017	510	4,692	$229,179
2018	421	3,453	$160,890
2019	429	3,747	$172,549
2020	400	3,138	$152,572
2021	370	2,475	$143,931
2022	345	1,898	$114,590
2023	324	2,035	$119,821
2024	294	1,637	$117,157

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	557	17,465	$997,811
2016	526	17,093	$984,905
2017	519	13,672	$782,627
2018	523	13,589	$862,491
2019	504	10,592	$829,479
2020	483	13,136	$1,125,276
2021	485	14,064	$1,267,289
2022	485	14,256	$1,372,676
2023	507	14,696	$1,548,349
2024	486	12,860	$1,256,601

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	89	555	$16,940
2016	120	682	$22,497
2017	79	551	$13,340
2018	91	531	$10,201
2019	73	515	$11,033
2020	87	550	$27,087
2021	68	387	$24,471
2022	43	235	$5,903
2023	34	143	$7,558
2024	18	216	$27,394

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	62	$98
99239	Hospital discharge day management, more than 30 minutes	56	74	$86
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	591	$81
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	311	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	78	126	$55

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	271	7,262	$142,578
Jardiance	Empagliflozin	166	5,484	$108,781
Farxiga	Dapagliflozin Propanediol	116	5,182	$97,052
Ozempic	Semaglutide	77	2,608	$88,968
Trulicity	Dulaglutide	58	1,898	$64,011

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
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	12	$13,619
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	27	$8,688
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	22	$1,976
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$1,047
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	24	$836

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	96	$2,041	Inari Medical, 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 Atul P. Shah, MD?

Tedicare shows public-source Medicare data for Atul P. Shah, MD (NPI 1851406227), 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 Atul P. Shah, MD have ACO affiliation data?

Atul P. Shah, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Atul P. Shah, MD?

Atul P. Shah, MD is linked to WMC PHYSICIAN PRACTICES LLC (billing NPI 1518303288) in the available physician profile data.

Does Atul P. Shah, MD have Open Payments data?

Atul P. Shah, MD has 96 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.