Dr. Nirav Shah, MD

NPI: 1245491257
Total Payments
$280,591
2024 Payments
$32,074
Companies
33
Transactions
192
Medicare Patients
870
Medicare Billing
$228,140

Payment Breakdown by Category

Research$124,186 (44.3%)
Consulting$85,883 (30.6%)
Other$47,936 (17.1%)
Travel$17,215 (6.1%)
Food & Beverage$5,371 (1.9%)

Payments by Nature

Nature of Payment Amount Transactions Share
Unspecified $124,186 6 44.3%
Consulting Fee $85,883 35 30.6%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $45,911 23 16.4%
Travel and Lodging $17,215 47 6.1%
Food and Beverage $5,371 80 1.9%
Honoraria $2,025 1 0.7%

Payments by Type

General
$156,405
186 transactions
Research
$124,186
6 transactions

Top Paying Companies

Company Total Records Latest Year
Eli Lilly and Company $157,291 37 $0 (2024)
Lilly USA, LLC $28,264 22 $0 (2024)
Kite Pharma, Inc. $21,856 27 $0 (2024)
Incyte Corporation $17,950 25 $0 (2024)
Celgene Corporation $16,314 13 $0 (2024)
Genentech, Inc. $6,000 2 $0 (2023)
Verastem, Inc. $4,178 3 $0 (2019)
Ipsen Biopharmaceuticals, Inc $3,480 1 $0 (2024)
E.R. Squibb & Sons, L.L.C. $3,340 4 $0 (2024)
ABBVIE INC. $2,708 6 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $32,074 38 Lilly USA, LLC ($18,025)
2023 $40,153 55 Eli Lilly and Company ($15,914)
2022 $134,920 20 Eli Lilly and Company ($124,825)
2021 $17,903 10 Eli Lilly and Company ($10,350)
2020 $14,799 9 Eli Lilly and Company ($6,038)
2019 $36,875 42 Celgene Corporation ($13,623)
2018 $2,768 14 Takeda Pharmaceuticals U.S.A., Inc. ($1,916)
2017 $1,101 4 Jazz Pharmaceuticals Inc. ($750.00)

All Payment Transactions

192 individual payment records from CMS Open Payments — Page 1 of 8

Date Company Product Nature Form Amount Type
12/31/2024 F. Hoffmann-La Roche AG In-kind items and services $498.26 Research
Study: Ph1b 2 TDB Pola dose escalation in r r NHL Ph1b followed by expansion in r r DLBCL and r r FL Ph2
12/31/2024 F. Hoffmann-La Roche AG In-kind items and services $385.46 Research
Study: Ph1b 2 TDB Pola dose escalation in r r NHL Ph1b followed by expansion in r r DLBCL and r r FL Ph2
12/09/2024 Kite Pharma, Inc. Food and Beverage In-kind items and services $143.94 General
12/08/2024 Novartis Pharmaceuticals Corporation SCEMBLIX (Drug) Food and Beverage In-kind items and services $31.93 General
Category: Oncology
12/07/2024 Novartis Pharmaceuticals Corporation Cash or cash equivalent $391.86 Research
Study: CYTB323A12101
12/06/2024 Genentech USA, Inc. Polivy (Biological) Food and Beverage In-kind items and services $45.48 General
Category: BioOncology
10/23/2024 Ipsen Biopharmaceuticals, Inc Tazverik (Drug) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $3,480.00 General
Category: Oncology
10/17/2024 National Marrow Donor Program Food and Beverage In-kind items and services $771.93 General
09/30/2024 Incyte Corporation JAKAFI (Drug) Food and Beverage Cash or cash equivalent $23.12 General
Category: Hematology/Oncology
09/06/2024 ABBVIE INC. VENCLEXTA (Drug) Food and Beverage In-kind items and services $48.38 General
Category: ONCOLOGY
09/06/2024 Genentech USA, Inc. Polivy (Biological) Food and Beverage In-kind items and services $39.14 General
Category: BioOncology
09/05/2024 ABBVIE INC. EPKINLY (Drug) Food and Beverage In-kind items and services $59.85 General
Category: ONCOLOGY
09/04/2024 Genmab U.S., Inc. Epkinly (Drug) Food and Beverage In-kind items and services $29.90 General
Category: Oncology
08/16/2024 Eli Lilly and Company JAYPIRCA (Drug) Food and Beverage In-kind items and services $32.00 General
Category: Oncology
08/07/2024 National Marrow Donor Program Food and Beverage In-kind items and services $214.56 General
08/01/2024 AstraZeneca Pharmaceuticals LP CALQUENCE (Drug) Consulting Fee Cash or cash equivalent $2,055.00 General
Category: Oncology
07/17/2024 ABBVIE INC. EPKINLY (Drug) Consulting Fee Cash or cash equivalent $800.00 General
Category: ONCOLOGY
06/25/2024 E.R. Squibb & Sons, L.L.C. Food and Beverage Cash or cash equivalent $6.44 General
06/02/2024 Genmab U.S., Inc. Food and Beverage In-kind items and services $49.97 General
06/01/2024 Eli Lilly and Company JAYPIRCA (Drug) Food and Beverage In-kind items and services $132.26 General
Category: Oncology
04/28/2024 National Marrow Donor Program Food and Beverage In-kind items and services $214.51 General
04/09/2024 Intercept Pharmaceuticals, Inc. OCALIVA (Drug) Food and Beverage In-kind items and services $24.35 General
Category: Hepatology / Gastroenterology
04/05/2024 Lilly USA, LLC JAYPIRCA (Drug) Travel and Lodging Cash or cash equivalent $438.64 General
Category: Oncology
04/05/2024 Lilly USA, LLC JAYPIRCA (Drug) Travel and Lodging Cash or cash equivalent $109.88 General
Category: Oncology
04/05/2024 Lilly USA, LLC JAYPIRCA (Drug) Travel and Lodging Cash or cash equivalent $84.00 General
Category: Oncology

Research Studies & Clinical Trials

Study Name Company Amount Records
A PHASE 3 OPEN-LABEL, RANDOMIZED STUDY OF LOXO-305 VERSUS INVESTIGATOR CHOICE OF BTK INHIBITOR IN PATIENTS WITH PREVIOUSLY TREATED BTK INHIBITOR NAIVE MANTLE CELL LYMPHOMA (BRUIN MCL-321) Eli Lilly and Company $111,310 1
A PHASE 3 OPEN-LABEL RANDOMIZED STUDY OF LOXO-305 VERSUS INVESTIGATOR CHOICE OF BTK INHIBITOR IN PATIENTS WITH PREVIOUSLY TREATED BTK INHIBITOR NAIVE MANTLE CELL LYMPHOMA (BRUIN MCL-321) Eli Lilly and Company $11,600 2
Ph1b 2 TDB Pola dose escalation in r r NHL Ph1b followed by expansion in r r DLBCL and r r FL Ph2 F. Hoffmann-La Roche AG $883.72 2
CYTB323A12101 Novartis Pharmaceuticals Corporation $391.86 1

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 6 217 473 $210,402 $38,794
2022 5 220 632 $287,677 $57,801
2021 7 248 687 $313,967 $74,494
2020 5 185 607 $287,647 $57,052
Total Patients
870
Total Services
2,399
Medicare Billing
$228,140
Procedure Codes
23

All Medicare Procedures & Services

23 procedure records from CMS Medicare Utilization

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99215 Established patient office or other outpatient visit, 40-54 minutes Facility 2023 58 187 $103,411 $19,389 18.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 72 136 $48,270 $8,887 18.4%
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes Facility 2023 17 47 $22,936 $4,208 18.3%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 14 42 $14,070 $2,499 17.8%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2023 42 47 $11,327 $1,960 17.3%
99205 New patient office or other outpatient visit, 60-74 minutes Facility 2023 14 14 $10,388 $1,850 17.8%
99215 Established patient office or other outpatient visit, 40-54 minutes Facility 2022 60 259 $139,585 $27,322 19.6%
99233 Follow-up hospital inpatient care per day, typically 35 minutes Facility 2022 33 135 $63,990 $10,403 16.3%
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a Facility 2022 16 63 $29,610 $10,051 33.9%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2022 71 122 $42,090 $8,090 19.2%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2022 40 53 $12,402 $1,935 15.6%
99215 Established patient outpatient visit, total time 40-54 minutes Facility 2021 70 249 $129,729 $27,262 21.0%
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a Facility 2021 31 159 $72,504 $25,548 35.2%
99214 Established patient outpatient visit, total time 30-39 minutes Facility 2021 62 108 $36,180 $8,026 22.2%
99233 Subsequent hospital inpatient care, typically 35 minutes per day Facility 2021 24 95 $43,700 $7,502 17.2%
99205 New patient outpatient visit, total time 60-74 minutes Facility 2021 17 17 $11,883 $2,375 20.0%
99223 Initial hospital inpatient care, typically 70 minutes per day Facility 2021 12 13 $9,529 $1,989 20.9%
99213 Established patient outpatient visit, total time 20-29 minutes Facility 2021 32 46 $10,442 $1,791 17.2%
99215 Established patient office or other outpatient, visit typically 40 minutes Facility 2020 83 326 $165,430 $27,490 16.6%
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a Facility 2020 18 92 $40,756 $14,633 35.9%
99233 Subsequent hospital inpatient care, typically 35 minutes per day Facility 2020 24 112 $50,064 $9,145 18.3%
99214 Established patient office or other outpatient, visit typically 25 minutes Facility 2020 42 59 $19,175 $3,540 18.5%
99205 New patient office or other outpatient visit, typically 60 minutes Facility 2020 18 18 $12,222 $2,245 18.4%

About Dr. Nirav Shah, MD

Dr. Nirav Shah, MD is a Internal Medicine healthcare provider based in Milwaukee, Wisconsin. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/23/2008. The National Provider Identifier (NPI) number assigned to this provider is 1245491257.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nirav Shah, MD has received a total of $280,591 in payments from pharmaceutical and medical device companies, with $32,074 received in 2024. These payments were reported across 192 transactions from 33 companies. The most common payment nature is "" ($124,186).

As a Medicare-enrolled provider, Shah has provided services to 870 Medicare beneficiaries, totaling 2,399 services with total Medicare billing of $228,140. Data is available for 4 years (2020–2023), covering 23 distinct procedure/service records.

Practice Information

  • Specialty Internal Medicine
  • Other Specialties Hematology & Oncology
  • Location Milwaukee, WI
  • Active Since 06/23/2008
  • Last Updated 10/01/2020
  • Taxonomy Code 207R00000X
  • Entity Type Individual
  • NPI Number 1245491257

Products in Payments

  • JAYPIRCA (Drug) $9,309
  • JAKAFI (Drug) $8,028
  • Tecartus (Drug) $5,946
  • MONJUVI (Drug) $5,309
  • Copiktra (Drug) $4,178
  • Tazverik (Drug) $3,480
  • JCAR017 (Drug) $3,164
  • Polivy (Biological) $3,085
  • ADCETRIS (Biological) $2,475
  • KYMRIAH (Biological) $2,061
  • CALQUENCE (Drug) $2,055
  • BB-2121 (Drug) $2,025
  • TAZVERIK (Drug) $2,025
  • UKONIQ (Drug) $2,025
  • Entyvio (Biological) $1,916
  • VENCLEXTA (Drug) $1,848
  • IMBRUVICA (Drug) $1,534
  • EPKINLY (Drug) $859.85
  • Defitelio (Drug) $750.00
  • BRUKINSA (Drug) $291.43

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Internal Medicine Doctors in Milwaukee