Physician

Dhruv J Shah, M.D.

According to 2025 Medicare claims, Dhruv Shah, M.D. (NPI: 1881670628) practices pain management in the Akron, OH market, with the plurality of this provider's patient population coming from Summit, OH. This provider's primary affiliated billing organization is ACTION SPINE AND PAIN CENTER, PC (NPI: 1447330766; TIN: 56-2515214) and primary practice location at 44333-9301.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 268 traditional Medicare patients, billed 12,922 HCPCS/CPT codes, and received $194,662 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,290 prescription claims across 554 beneficiaries totaling $26,251 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2022 DME data shows 12 claims. Open Payments data shows 1 records totaling $88. 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 changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $281,683 to $26,251. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	400	7,268	$214,065
2016	478	6,882	$228,285
2017	463	5,210	$201,931
2018	522	6,758	$258,498
2019	475	8,014	$296,144
2020	384	5,814	$235,619
2021	364	5,715	$263,045
2022	332	5,294	$228,186
2023	314	4,980	$236,675
2024	268	12,922	$194,662

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	634	4,361	$281,683
2016	674	3,225	$168,121
2017	770	3,134	$126,581
2018	742	2,774	$110,106
2019	660	2,421	$99,534
2020	666	2,257	$63,889
2021	564	1,557	$33,068
2022	674	1,704	$39,872
2023	606	1,391	$37,940
2024	554	1,290	$26,251

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	12	$432
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	12	$307
2022	N/R	12	$319
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$110
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	359	$78
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	233	1,549	$57
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	103	780	$1
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	74	4,150	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	211	4,959	$4,871
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	296	6,826	$4,697
Lidocaine	Lidocaine	20	577	$1,688
Celecoxib	Celecoxib	67	1,914	$1,268
Tizanidine Hcl	Tizanidine Hcl	136	4,726	$894

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.	1	$88	Nevro Corp.
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 Dhruv J. Shah, M.D.?

Tedicare shows public-source Medicare data for Dhruv J. Shah, M.D. (NPI 1881670628), 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 Dhruv J. Shah, 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 Dhruv J. Shah, M.D.?

Dhruv J. Shah, M.D. is linked to ACTION SPINE AND PAIN CENTER, PC (billing NPI 1447330766) in the available physician profile data.

Does Dhruv J. Shah, M.D. have Open Payments data?

Dhruv J. Shah, M.D. has 1 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.