Medicare Enrolled
Dr. Ashish Shah, M.D.
Gastroenterology · Bourbonnais, 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. Ashish Shah is a gastroenterology specialist in Bourbonnais, IL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 1,175 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 $9,877 from 47 pharmaceutical and/or device companies across 403 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.
✓ 18 years of NPI registration
▲ Top 20% volume in IL
$9,877 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,175
Medicare services
Top 20% in IL for gastroenterology
Not available
Unique patients (not deduplicated)
$100
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 |
|---|---|---|---|
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
157 | $64 | $800 |
| 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. |
145 | $67 | $146 |
| 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. |
144 | $63 | $167 |
| 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. |
97 | $121 | $292 |
| 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. |
95 | $134 | $335 |
| 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. |
83 | $96 | $195 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
72 | $98 | $975 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
62 | $39 | $108 |
| 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 | $102 | $231 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
53 | $205 | $1,125 |
| 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. |
28 | $73 | $195 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
25 | $85 | $1,400 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
25 | $134 | $950 |
| Endoscopic ultrasound-guided needle biopsy A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel. |
24 | $184 | $2,300 |
| Endoscopic ultrasound of esophagus, stomach, or upper small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope. |
23 | $155 | $2,000 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
20 | $66 | $202 |
| Hydrogen breath test A test that measures hydrogen levels in your breath to help evaluate stomach and bowel symptoms. |
19 | $63 | $325 |
| Pancreatic or bile duct stent insertion A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open. |
16 | $341 | $1,650 |
| Endoscopic removal of pancreatic or bile duct stent A flexible endoscope is used to remove a stent from the pancreatic or bile duct. This procedure accesses the ducts internally to extract the device. |
15 | $270 | $1,500 |
| Endoscopic control of upper GI bleeding A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine. |
11 | $159 | $1,000 |
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.
2.6% high complexity
25.6% medium
71.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,877
Total received (2018-2024)
Avg $1,411/year across 7 years
Top 18% in IL for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
403
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
$2,413
2023
$1,773
2022
$1,417
2021
$749
2020
$264
2019
$1,839
2018
$1,422
Payments by company (2024)
ABBVIE INC.
$547
Janssen Biotech, Inc.
$492
AIMMUNE THERAPEUTICS, INC.
$243
Regeneron Pharmaceuticals, Inc.
$226
GENZYME CORPORATION
$167
Takeda Pharmaceuticals U.S.A., Inc.
$103
Boston Scientific Corporation
$97
Lilly USA, LLC
$78
Janssen Scientific Affairs, LLC
$78
Gilead Sciences, Inc.
$76
Ardelyx, Inc.
$57
Celltrion USA Inc.
$47
Braintree Laboratories, Inc.
$39
QOL Medical, LLC
$39
Melinta Therapeutics, LLC
$33
PFIZER INC.
$30
Phathom Pharmaceuticals, Inc.
$18
VIVUS LLC
$15
Merck Sharp & Dohme LLC
$14
Celgene Corporation
$13
Top 3 companies account for 53.1% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$1,553
Janssen Biotech, Inc.
$1,073
ABBVIE INC.
$895
AbbVie Inc.
$802
Takeda Pharmaceuticals U.S.A., Inc.
$665
Celgene Corporation
$407
Covidien LP
$367
AbbVie, Inc.
$317
Janssen Scientific Affairs, LLC
$298
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$288
Ethicon US, LLC
$261
PFIZER INC.
$245
AIMMUNE THERAPEUTICS, INC.
$243
Regeneron Pharmaceuticals, Inc.
$226
GENZYME CORPORATION
$210
Ardelyx, Inc.
$167
Horizon Therapeutics plc
$150
Braintree Laboratories, Inc.
$120
Medtronic, Inc.
$119
Olympus America Inc.
$112
Merck Sharp & Dohme LLC
$111
Regeneron Healthcare Solutions, Inc.
$106
Merck Sharp & Dohme Corporation
$105
Lilly USA, LLC
$78
Gilead Sciences, Inc.
$76
Nestle HealthCare Nutrition Inc.
$74
Daiichi Sankyo Inc.
$73
Shionogi Inc
$71
QOL Medical, LLC
$65
NESTLE HEALTHCARE NUTRITION INC.
$55
VIVUS LLC
$51
Mauna Kea Technologies, Inc.
$49
Celltrion USA Inc.
$47
Boehringer Ingelheim Pharmaceuticals, Inc.
$47
Synergy Pharmaceuticals Inc
$45
Dova Pharmaceuticals
$37
Alfasigma USA, Inc.
$35
Melinta Therapeutics, LLC
$33
Prometheus Laboratories Inc.
$28
Organon LLC
$27
Shire North American Group Inc
$26
VIVUS, Inc.
$25
Allergan Inc.
$23
UCB, Inc.
$19
Phathom Pharmaceuticals, Inc.
$18
RedHill Biopharma Inc.
$18
INTERCEPT PHARMACEUTICALS, INC.
$14
Top 3 companies account for 35.7% of all-time payments
Associated products mentioned in payments ›
ACQUIRE · AVYCAZ · AXIOS · Aemcolo · Amitiza · BRIDION · Barrx · Beacon · Bravo · CREON · CYLTEZO · Cimzia · Creon · DIFICID · DUPIXENT · Dexilant · Doptelet · ENTYVIO · EOHILIA · Entyvio · GATTEX · GENERAL BILIARY DEVICES · GENERAL BILIARY DEVICES · HUMIRA · Humira · IBSRELA · INJECTAFER · KRYSTEXXA · LINX Reflux Management System · LINZESS · MAVYRET · MOTEGRITY · Mulpleta · OCALIVA · OMVOH · ORISE · Olympus EMR & ESD Devices · PANCREAZE · PRODIGI · Pancreaze · RELISTOR · REMICADE · RENFLEXIS · RINVOQ · Rezzayo · SKYRIZI · SPYGLASS · STELARA · SUCRAID · SUFLAVE · SUPREP · SUTAB · Spyglass · Sucraid · Symproic · TREMFYA · Trulance · VELSIPITY · VENCLEXTA · VIBERZI · VOQUEZNA · VOWST · WATCHMAN Access System · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA · ZYMFENTRA · Zelnorm
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
Gastroenterologists in nearby ZIP areas
12
County median income
$68,325
Nearest hospital to ZIP centroid (approximate)
PRESENCE ST MARYS HOSPITAL
5.5 mi
5.5 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 20% in IL), with 18 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 upper gi endoscopy with biopsy?
Based on Medicare claims data, Dr. Shah performed 157 upper gi endoscopy with biopsy 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 $9,877 from 47 companies across 403 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 gastroenterologists in Bourbonnais?
Dr. Shah's average Medicare payment per service is $100. 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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