Medicare Enrolled
Dr. Mehul Shah, M.D.
Internal Medicine · Chicago, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Shah from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Shah
Dr. Mehul Shah is an internal medicine specialist in Chicago, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 4,796 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Shah received a total of $6,150 from 40 pharmaceutical and/or device companies across 238 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Shah is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 5% volume in IL
$6,150 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,796
Medicare services
Top 5% in IL for internal medicine
Not available
Unique patients (not deduplicated)
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
993 | $66 | $137 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
731 | $96 | $215 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
553 | $8 | $20 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
384 | $83 | $150 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
370 | $65 | $150 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
366 | $0 | $1 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
348 | $134 | $300 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
190 | $100 | $182 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
104 | $32 | $36 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
99 | $76 | $105 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
96 | $68 | $198 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
62 | $144 | $312 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
61 | $109 | $306 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
60 | $43 | $125 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
50 | $281 | $293 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
50 | $32 | $35 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
37 | $11 | $90 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
35 | $166 | $300 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
27 | $151 | $216 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
27 | $86 | $125 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
26 | $45 | $110 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
22 | $34 | $90 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
21 | $135 | $275 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
20 | $96 | $222 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
20 | $61 | $142 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
16 | $233 | $350 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
15 | $172 | $350 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
13 | $172 | $350 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$6,150
Total received (2018-2024)
Avg $879/year across 7 years
Top 11% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
238
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,539
2023
$1,293
2022
$849
2021
$297
2020
$73
2019
$1,133
2018
$967
Payments by company (2024)
GlaxoSmithKline, LLC.
$174
AstraZeneca Pharmaceuticals LP
$167
Lilly USA, LLC
$151
Abbott Laboratories
$150
Aroa Biosurgery Incorporated
$140
Novo Nordisk Inc
$112
Baxter Healthcare
$105
Amgen Inc.
$87
E.R. Squibb & Sons, L.L.C.
$78
Exact Sciences Corporation
$76
Bayer Healthcare Pharmaceuticals Inc.
$72
Seqirus USA Inc
$51
Dexcom, Inc.
$49
Novartis Pharmaceuticals Corporation
$25
Ardelyx, Inc.
$25
PFIZER INC.
$21
Xeris Pharmaceuticals, Inc.
$19
Takeda Pharmaceuticals U.S.A., Inc.
$18
Paratek Pharmaceuticals, Inc.
$18
Top 3 companies account for 32.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$813
AstraZeneca Pharmaceuticals LP
$759
GlaxoSmithKline, LLC.
$702
Janssen Pharmaceuticals, Inc
$458
Baxter Healthcare
$407
Lilly USA, LLC
$343
PFIZER INC.
$333
Abbott Laboratories
$195
Boehringer Ingelheim Pharmaceuticals, Inc.
$186
Boston Scientific Corporation
$174
Smith+Nephew, Inc.
$147
Bayer Healthcare Pharmaceuticals Inc.
$146
Aroa Biosurgery Incorporated
$140
Novartis Pharmaceuticals Corporation
$138
Amgen Inc.
$131
Astellas Pharma US Inc
$124
Seqirus USA Inc
$112
E.R. Squibb & Sons, L.L.C.
$101
Exact Sciences Corporation
$101
SANOFI-AVENTIS U.S. LLC
$87
Bayer HealthCare Pharmaceuticals Inc.
$83
Intuity Medical Inc
$57
Dexcom, Inc.
$49
AbbVie Inc.
$38
Avanir Pharmaceuticals, Inc.
$37
Shire North American Group Inc
$35
Lucid Diagnostics Inc.
$32
Ardelyx, Inc.
$25
Merck Sharp & Dohme Corporation
$23
RedHill Biopharma Inc.
$21
Xeris Pharmaceuticals, Inc.
$19
Biohaven Pharmaceuticals, Inc.
$19
Takeda Pharmaceuticals U.S.A., Inc.
$18
Paratek Pharmaceuticals, Inc.
$18
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Otsuka America Pharmaceutical, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$14
MEDICOMP INC
$13
Mylan Specialty L.P.
$13
Allergan Inc.
$11
Top 3 companies account for 37.0% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO · AREXVY · Aimovig · BREO · BREZTRI · BRILINTA · CHANTIX · Cologuard Collection Kit · DIFICID · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUCELVAX QUADRIVALENT · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad Quadrivalent · Flucelvax · FreeStyle Libre 2 · GRAFIX PL · GVOKE HYPOPEN · IBSRELA · INVOKANA · JARDIANCE · KRYSTEXXA · Kerendia · Kyleena · MOUNJARO · MYRBETRIQ · Myrbetriq · NUEDEXTA · NURTEC ODT · NUZYRA · Ozempic · PAXLOVID · PERI-STRIPS DRY · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Pogo Automatic Blood Glucose Monitoring System · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TELEPATCH CARDIAC MONITOR · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Talicia · Tresiba · UBRELVY · VIBERZI · VYVANSE · Veozah · Victoza · WATCHMAN Access System · XARELTO · XIFAXAN · Yupelri
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
6,102
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
AMITA HEALTH RESURRECTION MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Shah is a clinical cardiology specialist, with above-average Medicare volume (top 5% in IL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Shah experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Shah performed 993 hospital follow-up visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $6,150 from 40 companies across 238 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shah's costs compare to other internal medicine physicians in Chicago?
Dr. Shah's average Medicare payment per service is $71. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shah) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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