Dr. Rajiv Shah, MD

NPI: 1396986329
Total Payments
$951,661
2024 Payments
$156,719
Companies
30
Transactions
862
Medicare Patients
5,890
Medicare Billing
$1.4M

Payment Breakdown by Category

Other$728,935 (76.6%)
Travel$94,927 (10.0%)
Consulting$93,155 (9.8%)
Food & Beverage$32,846 (3.5%)
Research$1,516 (0.2%)
Education$281.82 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $691,561 177 72.7%
Travel and Lodging $94,927 169 10.0%
Consulting Fee $93,155 38 9.8%
Food and Beverage $32,846 435 3.5%
Honoraria $25,888 14 2.7%
Compensation for serving as faculty or as a speaker for a medical education program $11,313 12 1.2%
Unspecified $1,516 7 0.2%
Education $281.82 7 0.0%
Entertainment $174.70 3 0.0%

Payments by Type

General
$950,145
855 transactions
Research
$1,516
7 transactions

Top Paying Companies

Company Total Records Latest Year
Mallinckrodt Hospital Products Inc. $253,045 114 $0 (2024)
Regeneron Healthcare Solutions, Inc. $241,302 156 $0 (2024)
ABBVIE INC. $147,867 139 $0 (2024)
Mallinckrodt Enterprises LLC $104,866 65 $0 (2019)
Allergan, Inc. $63,130 88 $0 (2022)
Bausch & Lomb Americas Inc. $27,852 42 $0 (2024)
Amgen Inc. $27,497 41 $0 (2024)
Bausch & Lomb, a division of Bausch Health US, LLC $21,704 29 $0 (2021)
Horizon Therapeutics plc $16,628 29 $0 (2023)
Alimera Sciences, Inc. $13,398 19 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $156,719 125 Mallinckrodt Hospital Products Inc. ($84,070)
2023 $138,924 111 Mallinckrodt Hospital Products Inc. ($54,284)
2022 $86,320 89 Regeneron Healthcare Solutions, Inc. ($32,814)
2021 $92,348 80 Mallinckrodt Hospital Products Inc. ($48,241)
2020 $90,323 55 Mallinckrodt Hospital Products Inc. ($43,330)
2019 $243,827 184 Regeneron Healthcare Solutions, Inc. ($110,012)
2018 $86,450 120 AbbVie, Inc. ($43,611)
2017 $56,749 98 AbbVie, Inc. ($40,395)

All Payment Transactions

862 individual payment records from CMS Open Payments — Page 1 of 35

Date Company Product Nature Form Amount Type
12/16/2024 Genentech, Inc. Susvimo (Drug), Vabysmo Food and Beverage In-kind items and services $95.00 General
Category: Immunology and Ophthalmology
12/13/2024 Amgen Inc. TEPEZZA (Biological) Consulting Fee Cash or cash equivalent $637.50 General
Category: Inflammation/Rare Disease
12/12/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) 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 $7,180.00 General
Category: IMMUNOLOGY
12/10/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $23.19 General
Category: Inflammation/Rare Disease
12/05/2024 F. Hoffmann-La Roche AG Consulting Fee Cash or cash equivalent $2,940.00 General
12/05/2024 F. Hoffmann-La Roche AG Food and Beverage In-kind items and services $15.80 General
11/26/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) 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 $4,490.00 General
Category: IMMUNOLOGY
11/26/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $10.14 General
Category: IMMUNOLOGY
11/26/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $7.28 General
Category: IMMUNOLOGY
11/20/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $98.92 General
Category: IMMUNOLOGY
11/19/2024 Amgen Inc. TEPEZZA (Biological) 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 $2,550.00 General
Category: Inflammation/Rare Disease
11/14/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $85.46 General
Category: Inflammation/Rare Disease
11/13/2024 Genentech, Inc. Susvimo (Drug) Food and Beverage In-kind items and services $141.18 General
Category: Immunology and Ophthalmology
11/13/2024 Bausch & Lomb Americas Inc. Stellaris (Device) Food and Beverage In-kind items and services $70.90 General
Category: Ophthalmology
11/12/2024 Regeneron Healthcare Solutions, Inc. EYLEA HD (Biological) 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 $1,880.00 General
Category: OPHTHALMOLOGY
11/12/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $20.01 General
Category: IMMUNOLOGY
11/07/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) 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 $8,975.00 General
Category: IMMUNOLOGY
11/04/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Travel and Lodging In-kind items and services $896.95 General
Category: IMMUNOLOGY
11/04/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Travel and Lodging In-kind items and services $674.18 General
Category: IMMUNOLOGY
11/04/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $125.35 General
Category: IMMUNOLOGY
10/29/2024 Regeneron Healthcare Solutions, Inc. EYLEA HD (Biological) 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 $1,880.00 General
Category: OPHTHALMOLOGY
10/29/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $19.83 General
Category: IMMUNOLOGY
10/22/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $28.04 General
Category: Inflammation/Rare Disease
10/20/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $92.64 General
Category: IMMUNOLOGY
10/18/2024 Bausch & Lomb Americas Inc. XIPERE (Drug) Food and Beverage In-kind items and services $147.98 General
Category: Ophthalmology

Research Studies & Clinical Trials

Study Name Company Amount Records
A PHASE 3, DOUBLE-MASKED, RANDOMIZED STUDY OF THE EFFICACY AND SAFETY OF INTRAVITREAL AFLIBERCEPT INJECTION IN PATIENTS WITH MODERATELY SEVERE TO SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY Regeneron Pharmaceuticals, Inc. $1,455 6
A Phase 2, Randomized, Placebo-Controlled Trial Evaluating the Efficacy and Safety of Filgotinib in Subjects with Active Non infectious Uveitis Gilead Sciences, Inc. $61.05 1

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 9 1,353 7,356 $1.1M $328,330
2022 9 1,469 2,932 $1.3M $328,407
2021 13 1,650 3,609 $1.8M $445,110
2020 11 1,418 2,994 $1.3M $324,058
Total Patients
5,890
Total Services
16,891
Medicare Billing
$1.4M
Procedure Codes
61

All Medicare Procedures & Services

61 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
J2777 Injection, faricimab-svoa, 0.1 mg Office 2023 20 4,800 $219,480 $106,550 48.5%
J0178 Injection, aflibercept, 1 mg Office 2023 24 154 $394,050 $98,199 24.9%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 170 358 $76,970 $23,393 30.4%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 118 206 $59,946 $17,776 29.7%
92134 Imaging of retina Office 2023 271 478 $66,920 $13,275 19.8%
67028 Injection of drug into eye Office 2023 53 155 $78,960 $12,749 16.1%
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina Facility 2023 12 13 $60,099 $12,277 20.4%
92134 Imaging of retina Facility 2023 302 653 $58,770 $11,107 18.9%
67028 Injection of drug into eye Facility 2023 54 163 $59,675 $10,720 18.0%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 135 156 $31,356 $9,259 29.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2023 125 151 $21,140 $7,258 34.3%
99204 New patient office or other outpatient visit, 45-59 minutes Facility 2023 30 30 $10,530 $2,838 26.9%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 21 21 $9,261 $2,419 26.1%
92235 Exam of retinal blood vessels using a special camera after injection of a dye Facility 2023 18 18 $2,736 $511.20 18.7%
J0178 Injection, aflibercept, 1 mg Office 2022 40 278 $727,050 $186,615 25.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2022 155 328 $70,520 $22,338 31.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 97 207 $60,237 $17,618 29.2%
92134 Imaging of retina Office 2022 286 553 $77,420 $15,937 20.6%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 169 214 $43,014 $13,522 31.4%
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina Facility 2022 11 13 $60,099 $13,107 21.8%
67028 Injection of drug into eye Office 2022 48 146 $72,480 $12,620 17.4%
92134 Imaging of retina Facility 2022 339 707 $63,630 $12,302 19.3%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2022 184 250 $35,000 $11,436 32.7%
67028 Injection of drug into eye Facility 2022 49 145 $54,049 $10,579 19.6%
67036 Removal of eye fluid (vitreous) between lens and retina Facility 2022 12 12 $37,236 $6,652 17.9%

About Dr. Rajiv Shah, MD

Dr. Rajiv Shah, MD is a Ophthalmology healthcare provider based in Winston Salem, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/22/2009. The National Provider Identifier (NPI) number assigned to this provider is 1396986329.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Rajiv Shah, MD has received a total of $951,661 in payments from pharmaceutical and medical device companies, with $156,719 received in 2024. These payments were reported across 862 transactions from 30 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($691,561).

As a Medicare-enrolled provider, Shah has provided services to 5,890 Medicare beneficiaries, totaling 16,891 services with total Medicare billing of $1.4M. Data is available for 4 years (2020–2023), covering 61 distinct procedure/service records.

Practice Information

  • Specialty Ophthalmology
  • Other Specialties Ophthalmology, Ophthalmology
  • Location Winston Salem, NC
  • Active Since 03/22/2009
  • Last Updated 08/31/2016
  • Taxonomy Code 207W00000X
  • Entity Type Individual
  • NPI Number 1396986329

Products in Payments

  • ACTHAR (Biological) $357,911
  • EYLEA (Biological) $207,312
  • Humira (Biological) $121,251
  • OZURDEX (Drug) $87,219
  • EYLEA HD (Biological) $38,199
  • XIPERE (Drug) $31,517
  • TEPEZZA (Biological) $26,860
  • TEPEZZA (Drug) $16,628
  • RETISERT (Drug) $16,066
  • ILUVIEN (Drug) $11,442
  • YUTIQ (Drug) $5,519
  • Vabysmo (Drug) $4,299
  • Lucentis (Biological) $3,291
  • BEOVU (Drug) $2,322
  • EYLEA AFLIBERCEPT INJECTION (Biological) $2,045
  • Non-Covered Product (Drug) $1,368
  • VYZULTA (Drug) $1,241
  • DAILIES (Device) $422.77
  • Susvimo (Drug) $383.22
  • Constellation (Device) $353.59

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.

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