Medicare Enrolled
Dr. Priya Shah, M.D.
Family Medicine · Dawsonville, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 →
Are you Dr. Shah?
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What this data tells you about Dr. Shah
Dr. Priya Shah is a family medicine specialist in Dawsonville, GA, with 11 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 4,976 Medicare services across 3,191 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shah received a total of $6,290 from 45 pharmaceutical and/or device companies across 347 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.
✓ 11 years in practice
▲ Top 6% volume in GA
$6,290 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,976
Medicare services
Top 6% in GA for family medicine
3,191
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~452 Medicare services per year of practice
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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
681 | $43 | $100 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
355 | $8 | $30 |
| 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. |
339 | $80 | $250 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
319 | $10 | $45 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
298 | $0 | $5 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
295 | $12 | $80 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
294 | $7 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
247 | $16 | $85 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
215 | $2 | $15 |
| 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. |
166 | $56 | $175 |
| Blood glucose test using reagent strip A test that measures the level of sugar in the blood using a chemical reagent strip. |
130 | $4 | $15 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
119 | $9 | $50 |
| 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. |
119 | $80 | $145 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
114 | $127 | $275 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
107 | $10 | $75 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
80 | $29 | $125 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
75 | $7 | $30 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
75 | $6 | $25 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
71 | $23 | $125 |
| 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. |
71 | $9 | $70 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
70 | $0 | $8 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
52 | $5 | $25 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
52 | $5 | $25 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
52 | $0 | $4 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
41 | $31 | $65 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
40 | $70 | $85 |
| Annual depression screening | 39 | $18 | $75 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
37 | $38 | $275 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
33 | $14 | $60 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
30 | $18 | $85 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
27 | $31 | $194 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
26 | $14 | $60 |
| 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. |
26 | $41 | $225 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
23 | $4 | $20 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
23 | $465 | $3,140 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
22 | $86 | $600 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $31 | $75 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
21 | $52 | $250 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
20 | $128 | $500 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
20 | $12 | $60 |
| Iron level test | 19 | $6 | $30 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
19 | $8 | $35 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
18 | $20 | $125 |
| PSA test (prostate cancer screening) | 15 | $18 | $85 |
| Pneumococcal conjugate vaccine (PCV15) An intramuscular injection of the 15-valent pneumococcal conjugate vaccine. This vaccine protects against 15 types of pneumococcal bacteria. |
14 | $241 | $500 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
12 | $504 | $3,298 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
11 | $56 | $385 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
11 | $86 | $750 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
11 | $79 | $275 |
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. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
11.8% medium
88.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,290
Total received (2018-2024)
Avg $1,048/year across 6 years
Top 11% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
347
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,002 (79.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,288 (20.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$89
2022
$672
2021
$2,603
2020
$1,253
2019
$1,095
2018
$578
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Baxter Healthcare
$59
GlaxoSmithKline, LLC.
$31
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Biohaven Pharmaceuticals, Inc.
$1,288
AstraZeneca Pharmaceuticals LP
$648
Amgen Inc.
$510
Novo Nordisk Inc
$470
Astellas Pharma US Inc
$408
AbbVie Inc.
$324
Amarin Pharma Inc.
$266
Lilly USA, LLC
$216
ABBVIE INC.
$196
Allergan, Inc.
$170
Boehringer Ingelheim Pharmaceuticals, Inc.
$161
GlaxoSmithKline, LLC.
$158
Kowa Pharmaceuticals America, Inc.
$141
Eisai Inc.
$100
Teva Pharmaceuticals USA, Inc.
$78
Genentech USA, Inc.
$77
SANOFI-AVENTIS U.S. LLC
$76
Otsuka America Pharmaceutical, Inc.
$71
PFIZER INC.
$69
Phadia US Inc.
$63
Baxter Healthcare
$59
Horizon Therapeutics plc
$57
UPSHER-SMITH LABORATORIES LLC
$57
Merck Sharp & Dohme Corporation
$56
Dexcom, Inc.
$50
Novartis Pharmaceuticals Corporation
$50
SCILEX PHARMACEUTICALS INC.
$47
Scilex Pharmaceuticals Inc.
$46
Clarus Therapeutics Inc.
$39
ARBOR PHARMACEUTICALS, INC.
$38
Janssen Pharmaceuticals, Inc
$29
Endo Pharmaceuticals Inc.
$27
Merck Sharp & Dohme LLC
$26
Hikma Pharmaceuticals USA
$24
Bardy Diagnostics, Inc.
$23
Synergy Pharmaceuticals Inc
$23
Aytu BioPharma, Inc.
$22
Bausch Health US, LLC
$21
Upsher-Smith Laboratories LLC
$21
DEXCOM, INC.
$19
Bayer HealthCare Pharmaceuticals Inc.
$16
Antares Pharma, Inc.
$15
Medtronic, Inc.
$13
Mylan Specialty L.P.
$12
QIAGEN SCIENCES LLC
$11
Top 3 companies account for 38.9% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · APLENZIN · AREXVY · Aciphex · Aimovig · BASAGLAR · BREO · BREZTRI · BYDUREON · CHANTIX · Carnation Ambulatory Monitor · DEXCOM G6 TRANSMITTER · DUEXIS · Dayvigo · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · GARDASIL 9 · Hillrom - Cardiac Ambulatory Monitor · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · JATENZO · Kerendia · LINZESS · Livalo · MDx Quantiferon · MYRBETRIQ · Mitigare · NASCOBAL · NURTEC ODT · Otezla · Ozempic · PENNSAID · PREVNAR - 13 · PREVNAR 13 · QULIPTA · RAYOS · REXULTI · RYBELSUS · Repatha · SHINGRIX · SOLIQUA · SYMBICORT · Saxenda · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trulance · UBRELVY · VRAYLAR · Vascepa · VenaSeal · Victoza · XARELTO · XYOSTED · Xofluza · Yupelri · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (80%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
239
Per 100K population
832.6
County median income
$88,986
Nearest hospital
NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN
12.2 mi
12.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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 6% in GA), with low-engagement industry engagement in the top 11% of GA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Shah experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Shah performed 681 chronic care management, first 20 min/month services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $6,290 from 45 companies across 347 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 family medicine physicians in Dawsonville?
Dr. Shah's average Medicare payment per service is $31. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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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