Medicare Enrolled
Dr. James Shina, MD
Internal Medicine · Austintown, OH
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. Shina 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. Shina?
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What this data tells you about Dr. Shina
Dr. James Shina is an internal medicine specialist in Austintown, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shina performed 2,170 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Shina received a total of $6,636 from 50 pharmaceutical and/or device companies across 447 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. Shina 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 9% volume in OH
$6,636 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,170
Medicare services
Top 9% in OH for internal medicine
Not available
Unique patients (not deduplicated)
$55
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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
552 | $1 | $5 |
| 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. |
430 | $76 | $334 |
| 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. |
222 | $59 | $224 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
193 | $121 | $344 |
| 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. |
178 | $57 | $224 |
| Annual depression screening | 106 | $17 | $57 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
90 | $29 | $82 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
87 | $76 | $183 |
| 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. |
75 | $86 | $325 |
| 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. |
63 | $132 | $614 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
56 | $52 | $309 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
52 | $116 | $448 |
| 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. |
36 | $9 | $77 |
| Pneumococcal vaccine, 13-valent | 15 | $253 | $330 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
15 | $29 | $82 |
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 ↗$6,636
Total received (2018-2024)
Avg $948/year across 7 years
Top 12% in OH for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
447
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
$1,487
2023
$1,379
2022
$1,336
2021
$940
2020
$347
2019
$300
2018
$847
Payments by company (2024)
ABBVIE INC.
$297
Novo Nordisk Inc
$229
Lilly USA, LLC
$167
AstraZeneca Pharmaceuticals LP
$159
Astellas Pharma US Inc
$111
Abbott Laboratories
$86
Amgen Inc.
$65
PFIZER INC.
$63
Medtronic, Inc.
$59
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$58
Janssen Pharmaceuticals, Inc
$54
Merck Sharp & Dohme LLC
$54
Exact Sciences Corporation
$33
Otsuka America Pharmaceutical, Inc.
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
GlaxoSmithKline, LLC.
$13
Top 3 companies account for 46.7% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$768
Novo Nordisk Inc
$718
ABBVIE INC.
$622
Lilly USA, LLC
$438
Amgen Inc.
$404
PFIZER INC.
$343
Boehringer Ingelheim Pharmaceuticals, Inc.
$322
AstraZeneca Pharmaceuticals LP
$316
Astellas Pharma US Inc
$300
Merck Sharp & Dohme LLC
$259
Merck Sharp & Dohme Corporation
$238
Abbott Laboratories
$184
Amarin Pharma Inc.
$134
GlaxoSmithKline, LLC.
$129
Janssen Pharmaceuticals, Inc
$104
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$101
SANOFI-AVENTIS U.S. LLC
$96
AbbVie, Inc.
$91
Exact Sciences Corporation
$90
Novartis Pharmaceuticals Corporation
$74
Allergan Inc.
$74
JAZZ PHARMACEUTICALS INC.
$66
E.R. Squibb & Sons, L.L.C.
$59
Medtronic, Inc.
$59
Bayer Healthcare Pharmaceuticals Inc.
$57
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$51
Sunovion Pharmaceuticals Inc.
$45
IDORSIA PHARMACEUTICALS US INC
$45
Bausch Health US, LLC
$42
Otsuka America Pharmaceutical, Inc.
$40
Biohaven Pharmaceuticals, Inc.
$40
Allergan, Inc.
$37
Boston Scientific Corporation
$30
Teva Pharmaceuticals USA, Inc.
$30
EISAI INC.
$18
Ultragenyx Pharmaceutical Inc.
$17
Takeda Pharmaceuticals U.S.A., Inc.
$17
Clarus Therapeutics Inc.
$16
INTERCEPT PHARMACEUTICALS, INC.
$16
Eisai Inc.
$15
Horizon Therapeutics plc
$15
Supernus Pharmaceuticals, Inc.
$15
Scilex Pharmaceuticals Inc.
$14
Biohaven Pharmaceutical Holding Company Ltd.
$14
Bioventus LLC
$14
Synergy Pharmaceuticals Inc
$13
Esperion Therapeutics, Inc.
$13
Avanir Pharmaceuticals, Inc.
$12
Kowa Pharmaceuticals America, Inc.
$11
VIVUS, Inc.
$10
Top 3 companies account for 31.8% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APLENZIN · Aduhelm · Aimovig · Androgel · BELSOMRA · BREZTRI · BYSTOLIC · CAMZYOS · CHANTIX · CREON · Cologuard Collection Kit · Creon · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GELSYN 3 · INTERSTIM · JANUVIA · JARDIANCE · JATENZO · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · LifeVest · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NAMZARIC · NEXLETOL · NUEDEXTA · NURTEC ODT · OCALIVA · OFEV · Otezla · Ozempic · PENNSAID · Prolia · QSYMIA · QULIPTA · QUVIVIQ · REXULTI · Repatha · Rezum Generator · Rybelsus · SHINGRIX · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNJARDY · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · Tresiba · Trulance · UBRELVY · Utibron · VERQUVO · VESICARE · VRAYLAR · VYVANSE · Vascepa · Veozah · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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
300
County median income
$55,576
Nearest hospital to ZIP centroid (approximate)
GENERATIONS BEHAVIORAL HEALTH-YOUNGSTOWN LLC
5.7 mi
5.7 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. Shina is a clinical cardiology specialist, with above-average Medicare volume (top 9% in OH), 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. Shina experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Shina performed 552 steroid injection (triamcinolone) 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. Shina receive payments from pharmaceutical companies?
Yes. Dr. Shina received a total of $6,636 from 50 companies across 447 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. Shina's costs compare to other internal medicine physicians in Austintown?
Dr. Shina's average Medicare payment per service is $55. 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. Shina) 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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