Medicare Enrolled
Dr. Atul Shah, M.D.
Interventional Cardiology · O Fallon, IL
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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 →
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What this data tells you about Dr. Shah
Dr. Atul Shah is an interventional cardiology specialist in O Fallon, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 4,064 Medicare services across 2,965 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shah received a total of $14,656 from 20 pharmaceutical and/or device companies across 231 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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.
✓ 20 years in practice
▲ Top 17% volume in IL
$14,656 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,064
Medicare services
Top 17% in IL for interventional cardiology
2,965
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~203 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
598 | $6 | $63 |
| 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. |
550 | $90 | $255 |
| 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. |
416 | $10 | $90 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
350 | $14 | $100 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
324 | $20 | $110 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
273 | $4 | $14 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
247 | $52 | $415 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
214 | $11 | $63 |
| Cardiac catheterization | 117 | $215 | $1,830 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
101 | $11 | $150 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
87 | $16 | $100 |
| 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. |
85 | $58 | $174 |
| 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. |
78 | $129 | $395 |
| Physician review of home INR testing A physician reviews, interprets, and manages home INR testing results for patients with mechanical heart valves, chronic atrial fibrillation, or venous thromboembolism who meet Medicare coverage criteria. |
75 | $7 | $30 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
72 | $456 | $3,205 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
64 | $55 | $375 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
62 | $54 | $189 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
61 | $17 | $85 |
| 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. |
39 | $96 | $340 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
34 | $626 | $2,001 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
29 | $20 | $75 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
23 | $84 | $475 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 21 | $242 | $2,185 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
20 | $42 | $580 |
| 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. |
18 | $97 | $260 |
| 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. |
16 | $65 | $180 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
15 | $423 | $2,500 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
13 | $47 | $156 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 13 | $316 | $2,489 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
13 | $61 | $252 |
| 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. |
13 | $82 | $255 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
12 | $12 | $44 |
| 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. |
11 | $142 | $500 |
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.
30.0% high complexity
5.2% medium
64.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,656
Total received (2018-2024)
Avg $2,094/year across 7 years
Top 22% in IL for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
231
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
$14,539 (99.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$117 (0.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$904
2023
$927
2022
$1,289
2021
$506
2020
$304
2019
$3,259
2018
$7,467
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ShockWave Medical, Inc
$281
ABIOMED
$243
Medtronic, Inc.
$225
Abbott Laboratories
$105
PFIZER INC.
$32
Chiesi USA, Inc.
$17
Top 3 companies account for 82.9% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$9,905
Abbott Laboratories
$1,849
Medtronic, Inc.
$764
ShockWave Medical, Inc
$641
Boston Scientific Corporation
$303
ABIOMED
$256
Edwards Lifesciences Corporation
$231
CVRx, Inc.
$117
AstraZeneca Pharmaceuticals LP
$99
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$96
Amgen Inc.
$90
PFIZER INC.
$79
Shockwave Medical, Inc
$65
Novartis Pharmaceuticals Corporation
$38
Philips Electronics North America Corporation
$29
BOSTON SCIENTIFIC CORPORATION
$27
BIOTRONIK INC.
$18
Regeneron Healthcare Solutions, Inc.
$18
Chiesi USA, Inc.
$17
BARD PERIPHERAL VASCULAR, INC.
$14
Top 3 companies account for 85.4% of all-time payments
Associated products mentioned in payments ›
(9520) IGT Devices Und · ACCENT · AMPLATZER AMULET · ASSURITY · AVEIR · AVVIGO Guidance System · AZURE XT DR MRI SURESCAN · Amplia MRI · Assurity Pacemaker · BRILINTA · Barostim Neo System · CARDIOMEMS · CHANTIX · COBALT DR MRI SURESCAN · CONFIRM RX · COREVALVE EVOLUT R · CRT-Ds · CardioMEMS HF System · CareLink · Claria MRI · Cobalt · Comet · Confirm Rx · CoreValve Evolut · DUPIXENT · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · EnSite Precision Cardiac Mapping System · FFRANGIO · GALLANT · GENERAL - THERAPIES · General - Therapies · Impella · JOT DX · KENGREAL · LINQ II · LUTONIX · LifeVest · MITRACLIP · Micra · ONYX FRONTIER · PERCLOSE PROGLIDE · PERCLOSE PROSTYLE · PK Papyrus · Perclose ProGlide suture mediated closure system · Quadra Assura CRT Defibrillator · REVEAL LINQ · ROTAPRO · Repatha · Resolute · Reveal LINQ · SELECTSECURE · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SQRX PULSE GENERATOR · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TENDRIL · TYRX · Trilogy 100 · Visia AF · WATCHMAN Access System · Xience Sierra Coronary Stent
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional cardiologists within 10 mi
14
Per 100K population
5.5
County median income
$70,178
Nearest hospital
HSHS ST ELIZABETH'S HOSPITAL
0.0 mi
0.0 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 an electrophysiology & remote specialist, with above-average Medicare volume (top 17% in IL), with low-engagement industry engagement, 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 ekg interpretation and report?
Based on Medicare claims data, Dr. Shah performed 598 ekg interpretation and report 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 $14,656 from 20 companies across 231 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 interventional cardiologists in O Fallon?
Dr. Shah's average Medicare payment per service is $54. 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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