Physician

Abhay R Shelke, MD

According to 2025 Medicare claims, Abhay Shelke, MD (NPI: 1861682916) practices hematology/oncology in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC (NPI: 1306468418; TIN: 851007420) and primary practice location at 43512-2440. Shelke is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Shelke's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 521 traditional Medicare patients, billed 1,584 HCPCS/CPT codes, and received $119,614 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,536 prescription claims across 323 beneficiaries totaling $2,470,274 in drug costs, led by Lenalidomide (Lenalidomide). 2021 DME data shows 30 claims. Open Payments data shows 2 records totaling $167. 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 $51,702 to $119,614. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $366,762 to $2,470,274. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$60K$120K2015 Medicare payment: $51,702 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $79,388 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $101,510 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $109,727 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $104,695 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $94,141 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $120,268 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $116,222 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $95,214 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $119,614 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015291726$51,702
20164001,148$79,388
20175092,256$101,510
20184582,558$109,727
20194452,771$104,695
20204201,276$94,141
20214901,429$120,268
20224831,380$116,222
20234451,223$95,214
20245211,584$119,614

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.2M$2.5M2015 Drug cost: $366,762 (USD; Tot_Drug_Cst)2016 Drug cost: $575,963 (USD; Tot_Drug_Cst)2017 Drug cost: $906,796 (USD; Tot_Drug_Cst)2018 Drug cost: $948,244 (USD; Tot_Drug_Cst)2019 Drug cost: $1,609,615 (USD; Tot_Drug_Cst)2020 Drug cost: $1,485,470 (USD; Tot_Drug_Cst)2021 Drug cost: $1,580,968 (USD; Tot_Drug_Cst)2022 Drug cost: $1,337,893 (USD; Tot_Drug_Cst)2023 Drug cost: $1,958,137 (USD; Tot_Drug_Cst)2024 Drug cost: $2,470,274 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201594391$366,762
201699475$575,963
2017149750$906,796
2018144982$948,244
20191561,086$1,609,615
20202101,222$1,485,470
20212101,245$1,580,968
20222421,315$1,337,893
20232741,314$1,958,137
20243231,536$2,470,274

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.7K$5.5K2015 Medicare payment: $782 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $4,142 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,470 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,005 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,933 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R18$782
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R17$4,142
2019N/R58$5,470
2020N/R17$2,005
2021N/R30$1,933
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more69321$102
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8688$97
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more7979$87
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more350716$66
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes119332$58

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LenalidomideLenalidomide451,218$644,073
LumakrasSotorasib12360$294,250
XtandiEnzalutamide18540$282,253
RevlimidLenalidomide13280$165,294
PromactaEltrombopag Olamine12360$160,514

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$167Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Abhay R. Shelke, MD?

Tedicare shows public-source Medicare data for Abhay R. Shelke, MD (NPI 1861682916), 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 Abhay R. Shelke, MD have ACO affiliation data?

Abhay R. Shelke, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Abhay R. Shelke, MD?

Abhay R. Shelke, MD is linked to MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC (billing NPI 1306468418) in the available physician profile data.

Does Abhay R. Shelke, MD have Open Payments data?

Abhay R. Shelke, 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.