Physician

Shanta Gautham, MD

According to 2025 Medicare claims, Shanta Gautham, MD (NPI: 1851562375) practices internal medicine in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58201-4059. Gautham is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), CVS ACO (ACO ID: A5407), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Gautham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 451 traditional Medicare patients, billed 1,413 HCPCS/CPT codes, and received $121,220 in Medicare payments. The top billing code was 99496 (Transitional care management services for problem of high complexity). Part D data shows 7,626 prescription claims across 506 beneficiaries totaling $570,286 in drug costs, led by Ozempic (Semaglutide). DME data shows 536 claims. Open Payments data shows 2 records totaling $104. 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 $93,684 to $121,220. Similarly, Part D prescription costs have risen steadily, from $434,710 to $570,286. For DME billing, reported payments rose steadily, from $11,057 to $51,563.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	399	1,711	$93,684
2016	459	1,650	$89,855
2017	441	1,495	$82,089
2018	602	1,900	$105,372
2019	559	1,970	$138,033
2020	478	1,718	$111,911
2021	492	1,564	$149,718
2022	434	1,582	$139,691
2023	471	1,533	$132,521
2024	451	1,413	$121,220

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	369	6,777	$434,710
2016	444	7,455	$437,609
2017	427	7,303	$440,616
2018	582	8,391	$566,655
2019	568	9,128	$656,784
2020	500	8,069	$574,527
2021	531	7,348	$552,051
2022	441	7,073	$565,737
2023	502	7,663	$775,991
2024	506	7,626	$570,286

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	65	257	$8,466
2016	67	281	$4,822
2017	62	264	$7,216
2018	74	301	$4,482
2019	87	363	$20,309
2020	105	397	$13,814
2021	109	354	$13,163
2022	93	408	$20,885
2023	177	591	$34,073
2024	143	536	$43,486

* / # = 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
99496	Transitional care management services for problem of high complexity	47	52	$139
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	198	198	$126
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	277	504	$100
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	468	$62
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$37

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	84	3,184	$103,220
Xarelto	Rivaroxaban	59	2,954	$54,117
Eliquis	Apixaban	40	1,660	$31,986
Jardiance	Empagliflozin	25	1,379	$27,088
Trulicity	Dulaglutide	16	560	$19,709

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
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	15	66	$28,508
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	31	$2,319
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	26	$2,248
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	15	38	$2,115
A7030	Full face mask used with positive airway pressure device, each	N	N/R	17	$1,184

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$104	Phathom Pharmaceuticals, 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 Shanta Gautham, MD?

Tedicare shows public-source Medicare data for Shanta Gautham, MD (NPI 1851562375), 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 Shanta Gautham, MD have ACO affiliation data?

Shanta Gautham, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), CVS ACO (MSSP, ACO ID A5407), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Shanta Gautham, MD?

Shanta Gautham, MD is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does Shanta Gautham, MD have Open Payments data?

Shanta Gautham, MD has 2 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.