Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $173.13 | 3 | 84.7% |
| Education | $31.34 | 2 | 15.3% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Foundation Medicine, Inc. | $157.58 | 2 | $0 (2018) |
| E.R. Squibb & Sons, L.L.C. | $19.42 | 1 | $0 (2020) |
| ABBVIE INC. | $15.55 | 1 | $0 (2022) |
| Gilead Sciences, Inc. | $11.92 | 1 | $0 (2021) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $15.55 | 1 | ABBVIE INC. ($15.55) |
| 2021 | $11.92 | 1 | Gilead Sciences, Inc. ($11.92) |
| 2020 | $19.42 | 1 | E.R. Squibb & Sons, L.L.C. ($19.42) |
| 2018 | $157.58 | 2 | Foundation Medicine, Inc. ($157.58) |
All Payment Transactions
5 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 04/07/2022 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $15.55 | General |
| Category: NEUROSCIENCE | ||||||
| 06/01/2021 | Gilead Sciences, Inc. | — | Education | In-kind items and services | $11.92 | General |
| 11/23/2020 | E.R. Squibb & Sons, L.L.C. | Revlimid (Drug) | Education | Cash or cash equivalent | $19.42 | General |
| Category: Hematology | ||||||
| 05/01/2018 | Foundation Medicine, Inc. | FOUNDATIONONE (Device), FOUNDATIONONE HEME, FOUNDATIONONE CDX | Food and Beverage | In-kind items and services | $92.04 | General |
| Category: ONCOLOGY | ||||||
| 04/26/2018 | Foundation Medicine, Inc. | FOUNDATIONONE (Device), FOUNDATIONONE HEME, FOUNDATIONONE CDX | Food and Beverage | In-kind items and services | $65.54 | General |
| Category: ONCOLOGY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 149 | 208 | $92,838 | $15,920 |
| 2022 | 5 | 141 | 245 | $97,481 | $18,213 |
| 2021 | 4 | 157 | 263 | $82,856 | $19,201 |
| 2020 | 4 | 118 | 229 | $60,650 | $11,211 |
All Medicare Procedures & Services
17 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 63 | 107 | $42,201 | $6,827 | 16.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Facility | 2023 | 33 | 33 | $22,490 | $4,061 | 18.1% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2023 | 21 | 33 | $18,358 | $3,455 | 18.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 32 | 35 | $9,790 | $1,578 | 16.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 81 | 169 | $64,000 | $11,882 | 18.6% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2022 | 15 | 29 | $15,364 | $3,100 | 20.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Facility | 2022 | 17 | 17 | $11,001 | $1,921 | 17.5% |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | Facility | 2022 | 13 | 15 | $3,120 | $680.09 | 21.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 15 | 15 | $3,996 | $629.10 | 15.7% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 70 | 167 | $50,768 | $12,183 | 24.0% |
| 99205 | New patient outpatient visit, total time 60-74 minutes | Facility | 2021 | 18 | 18 | $10,458 | $2,524 | 24.1% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 48 | 57 | $11,970 | $2,430 | 20.3% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Facility | 2021 | 21 | 21 | $9,660 | $2,065 | 21.4% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 52 | 145 | $44,080 | $8,391 | 19.0% |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | Facility | 2020 | 22 | 35 | $7,280 | $1,372 | 18.8% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 33 | 38 | $7,904 | $1,246 | 15.8% |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | Facility | 2020 | 11 | 11 | $1,386 | $202.50 | 14.6% |
About Dr. Shefali Shah, MD
Dr. Shefali Shah, MD is a Hematology & Oncology healthcare provider based in Jonesboro, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/22/2007. The National Provider Identifier (NPI) number assigned to this provider is 1124237284.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Shefali Shah, MD has received a total of $204.47 in payments from pharmaceutical and medical device companies, with $15.55 received in 2022. These payments were reported across 5 transactions from 4 companies. The most common payment nature is "Food and Beverage" ($173.13).
As a Medicare-enrolled provider, Shah has provided services to 565 Medicare beneficiaries, totaling 945 services with total Medicare billing of $64,546. Data is available for 4 years (2020–2023), covering 17 distinct procedure/service records.
Practice Information
- Specialty Hematology & Oncology
- Other Specialties Internal Medicine, Pediatrics
- Location Jonesboro, GA
- Active Since 05/22/2007
- Last Updated 06/23/2014
- Taxonomy Code 207RH0003X
- Entity Type Individual
- NPI Number 1124237284
Products in Payments
- FOUNDATIONONE (Device) $157.58
- Revlimid (Drug) $19.42
- VRAYLAR (Drug) $15.55
Explore
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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