Physician

Hemang Kalpeshkumar Shah, MBBS

According to 2025 Medicare claims, Hemang Shah, MBBS (NPI: 1932229879) practices neurology in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27215-8700. Shah is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and Triad HealthCare Network, LLC. (ACO ID: D0209), participating under both the MSSP and REACH models.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 428 traditional Medicare patients, billed 1,999 HCPCS/CPT codes, and received $94,350 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 5,305 prescription claims across 953 beneficiaries totaling $1,084,216 in drug costs, led by Kesimpta Pen (Ofatumumab). DME data shows 412 claims. Open Payments data shows 1 records totaling $75. 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 did not follow a clear longitudinal pattern. For DME billing, reported payments rose steadily, from $2,225 to $36,333.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	553	2,297	$114,797
2016	520	2,194	$113,147
2017	490	1,717	$106,296
2018	517	2,148	$132,153
2019	475	1,763	$121,219
2020	453	1,616	$103,171
2021	477	1,963	$130,118
2022	475	1,872	$111,879
2023	466	1,743	$90,678
2024	428	1,999	$94,350

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	620	4,152	$974,392
2016	644	4,618	$1,252,851
2017	683	4,951	$1,458,893
2018	728	4,733	$1,441,058
2019	783	4,430	$1,810,066
2020	876	4,619	$1,946,343
2021	916	4,341	$1,417,529
2022	999	4,647	$1,392,757
2023	1,022	5,587	$1,661,572
2024	953	5,305	$1,084,216

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	11	$296
2016	23	65	$1,630
2017	N/R	14	$270
2018	85	183	$6,172
2019	157	304	$9,713
2020	127	292	$12,613
2021	145	292	$12,347
2022	270	575	$24,397
2023	238	442	$21,348
2024	201	412	$18,345

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	155	183	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	188	$86
82607	Cyanocobalamin (vitamin b-12) level	107	111	$15
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	369	463	$11
36415	Insertion of needle into vein for collection of blood sample	144	154	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Kesimpta Pen	Ofatumumab	19	570	$173,243
Tecfidera	Dimethyl Fumarate	14	420	$122,863
Plegridy	Peginterferon Beta-1a	11	308	$88,389
Aimovig Autoinjector	Erenumab-Aooe	66	2,662	$68,328
Emgality Pen	Galcanezumab-Gnlm	81	2,394	$62,190

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
A7031	Face mask interface, replacement for full face mask, each	N	22	47	$3,932
A7030	Full face mask used with positive airway pressure device, each	N	23	49	$3,856
A7032	Cushion for use on nasal mask interface, replacement only, each	N	15	33	$3,406
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	30	59	$2,190
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	17	35	$1,981

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$75	Alexion 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 Hemang Kalpeshkumar Shah, MBBS?

Tedicare shows public-source Medicare data for Hemang Kalpeshkumar Shah, MBBS (NPI 1932229879), 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 Hemang Kalpeshkumar Shah, MBBS have ACO affiliation data?

Hemang Kalpeshkumar Shah, MBBS is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to Hemang Kalpeshkumar Shah, MBBS?

Hemang Kalpeshkumar Shah, MBBS is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Hemang Kalpeshkumar Shah, MBBS have Open Payments data?

Hemang Kalpeshkumar Shah, MBBS 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.