Medicare Enrolled
Dr. Manish Shah, MD
Interventional Pain Medicine Physician · Limerick, PA
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 →
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What this data tells you about Dr. Shah
Dr. Manish Shah is an interventional pain medicine physician in Limerick, PA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 4,276 Medicare services across 1,634 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shah received a total of $7,025 from 31 pharmaceutical and/or device companies across 229 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. 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.
✓ 15 years in practice
▲ Top 18% volume in PA
$7,025 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,276
Medicare services
Top 18% in PA for interventional pain medicine physician
1,634
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~285 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,114 | $0 | $2 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
691 | $4 | $27 |
| 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. |
450 | $106 | $652 |
| 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. |
219 | $74 | $459 |
| 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. |
201 | $53 | $205 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
200 | $1 | $6 |
| 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. |
162 | $137 | $844 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
112 | $61 | $300 |
| Contrast dye for imaging, lower concentration | 107 | $0 | $3 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
72 | $204 | $1,592 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
72 | $214 | $966 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
72 | $5 | $36 |
| Anesthesia for spine injection or aspiration with imaging This code covers the administration of anesthesia for injection, drainage, or aspiration procedures on the lower back spine or spinal cord. The procedure is performed through the skin using imaging guidance. |
71 | $41 | $594 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
70 | $252 | $1,794 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
70 | $105 | $810 |
| Injection, methylprednisolone acetate, 40 mg | 70 | $6 | $189 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
69 | $112 | $575 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
41 | $96 | $583 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
40 | $100 | $610 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
38 | $59 | $369 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
38 | $391 | $2,331 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
36 | $223 | $1,407 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
33 | $242 | $1,000 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
32 | $40 | $199 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
27 | $77 | $461 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
26 | $164 | $1,231 |
| Anesthesia for forearm, wrist, and hand procedure This code covers the administration of anesthesia for surgical procedures involving the nerves, muscles, tendons, and tissues of the forearm, wrist, and hand. |
21 | $45 | $375 |
| Anesthesia for total knee replacement Administration of anesthesia during a total knee joint replacement procedure. |
17 | $125 | $1,102 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
16 | $16 | $77 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
15 | $215 | $1,425 |
| Brachial plexus injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the brachial plexus nerve bundle in the arm. |
15 | $55 | $1,570 |
| 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. |
13 | $146 | $982 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
12 | $797 | $5,750 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
12 | $53 | $316 |
| Anesthesia for total hip replacement Administration of anesthesia during a total hip replacement surgery. This code covers the anesthetic services provided for the procedure. |
11 | $115 | $965 |
| Anesthesia for forearm, wrist, or hand bone procedure Administration of anesthesia during surgical procedures involving the bones of the forearm, wrist, or hand. |
11 | $56 | $469 |
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.
0.7% high complexity
47.5% medium
51.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,025
Total received (2018-2024)
Avg $1,004/year across 7 years
Top 22% in PA for interventional pain medicine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
229
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
$7,025 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$990
2023
$1,367
2022
$1,028
2021
$60
2020
$993
2019
$436
2018
$2,151
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$242
Vertos Medical, Inc.
$178
Abbott Laboratories
$155
Stryker Corporation
$117
Medtronic, Inc.
$84
Nevro Corp.
$82
ABBVIE INC.
$63
IBSA Pharma Inc.
$24
SI-BONE, INC.
$22
SCPHARMACEUTICALS INC.
$21
Top 3 companies account for 58.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,120
Nevro Corp.
$1,432
Vertos Medical, Inc.
$1,169
Boston Scientific Corporation
$850
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$140
Stryker Corporation
$117
PFIZER INC.
$107
Sentynl Therapeutics, Inc.
$95
Relievant Medsystems, Inc.
$87
Medtronic, Inc.
$84
Horizon Pharma plc
$84
Medtronic USA, Inc.
$80
Purdue Pharma L.P.
$79
ABBVIE INC.
$76
IBSA Pharma Inc.
$69
Kaleo, Inc.
$68
Collegium Pharmaceutical, Inc.
$41
MML US, Inc.
$37
TerSera Therapeutics LLC
$34
BOSTON SCIENTIFIC CORPORATION
$32
Scilex Pharmaceuticals Inc.
$27
Pernix Therapeutics Holdings, Inc.
$27
BioDelivery Sciences International, Inc.
$26
Zyla Life Sciences
$25
SI-BONE, INC.
$22
SCPHARMACEUTICALS INC.
$21
Janssen Biotech, Inc.
$18
Almatica Pharma LLC
$15
Flexion Therapeutics, Inc.
$15
Horizon Therapeutics plc
$14
US WorldMeds, LLC
$13
Top 3 companies account for 67.2% of all-time payments
Associated products mentioned in payments ›
Axium INS DRG IPG · Axium Sheath Braided DRG · BOTOX · BUNAVAIL 2.1 mg 30-count box · DRG IPGs · DUEXIS · ETERNA · Evzio · FUROSCIX · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LICART · LYRICA · Levorphanol · Levorphanol Tartrate · Lucemyra/Lofexidine · MILD DEVICE KIT · OCTRODE · Omnia · PENNSAID · PREZISTA · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Prodigy Family of SCS IPGs · QULIPTA · RELISTOR · RELISTOR ORAL · RESTORE · Radiofrequency Therapy · ReActiv8 · SCS IPGs · SERTRALINE HCL · SPECTRA WAVEWRITER · SPRIX · SYMPROIC · Senza · Senza Spinal Cord Stimulation System · Spectra WaveWriter · Tirosint · WATCHMAN · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · mild Device Kit
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional pain medicine physicians within 10 mi
7
Per 100K population
0.8
County median income
$111,521
Nearest hospital
PHYSICIANS CARE SURGICAL 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 a clinical cardiology specialist, with above-average Medicare volume (top 18% in PA), with low-engagement industry engagement, with 15 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 dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Shah performed 1,114 dexamethasone injection (steroid) 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 $7,025 from 31 companies across 229 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 pain medicine physicians in Limerick?
Dr. Shah's average Medicare payment per service is $57. 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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