Physician

Shadi Marina, M.D.

According to 2025 Medicare claims, Shadi Marina, M.D. (NPI: 1972764041) practices hospitalist in the Rockford, IL market, with the plurality of this provider's patient population coming from Winnebago, IL. This provider's primary affiliated billing organization is PREMIER HEALTH CONSULTANTS INC (NPI: 1205202009; TIN: 320380363) and primary practice location at 61108-4274. Marina is affiliated with the Sound Physicians Long Term Care Management, LLC (ACO ID: A5220), participating under the MSSP model.

Marina's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 827 traditional Medicare patients, billed 3,499 HCPCS/CPT codes, and received $261,420 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 475 prescription claims across 241 beneficiaries totaling $19,734 in drug costs, led by Eliquis (Apixaban). DME data shows 12 claims. Open Payments data shows 9 records totaling $197. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $13,303 and ending at $19,734. For DME billing, reported payments moved sharply higher in recent years, from $1,324 to $13,044.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	582	1,884	$163,911
2016	693	2,063	$176,207
2017	744	2,336	$197,141
2018	693	1,934	$159,904
2019	842	1,988	$176,542
2020	709	1,795	$148,281
2021	687	1,685	$139,160
2022	879	1,796	$137,808
2023	791	2,532	$197,100
2024	827	3,499	$261,420

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	162	332	$13,303
2016	209	620	$25,089
2017	257	952	$50,424
2018	176	516	$23,008
2019	169	378	$16,286
2020	211	421	$14,240
2021	227	473	$17,463
2022	219	1,021	$74,473
2023	210	396	$19,210
2024	241	475	$19,734

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	57	$1,954
2017	N/R	191	$4,145
2018	N/R	95	$3,646
2019	N/R	107	$3,919
2020	N/R	42	$1,542
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	12	$11,942
2024	N/R	12	$12,100

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	178	187	$133
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	275	281	$100
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	302	621	$91
99239	Hospital discharge day management, more than 30 minutes	158	165	$86
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	573	2,171	$61

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	13	361	$7,258
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	24	209	$242
Cefdinir	Cefdinir	19	131	$200
Doxycycline Hyclate	Doxycycline Hyclate	25	179	$180
Cephalexin	Cephalexin	23	181	$167

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,100

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$197	Salix Pharmaceuticals, a division of Bausch Health US, LLC
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 Shadi Marina, M.D.?

Tedicare shows public-source Medicare data for Shadi Marina, M.D. (NPI 1972764041), 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 Shadi Marina, M.D. have ACO affiliation data?

Shadi Marina, M.D. is shown with ACO affiliation data for Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220).

What billing organization is linked to Shadi Marina, M.D.?

Shadi Marina, M.D. is linked to PREMIER HEALTH CONSULTANTS INC (billing NPI 1205202009) in the available physician profile data.

Does Shadi Marina, M.D. have Open Payments data?

Shadi Marina, M.D. has 9 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.