Medicare Enrolled

Dr. Ruchir Shah, MD

Internal Medicine · Waco, TX
Practice pattern: Cardiac & Cardiac — Practice combining cardiac and cardiac services
Low-engagement
50 HILLCREST MEDICAL BLVD STE 303, Waco, TX 76712
2542020480
In practice since 2015 (11 years)
NPI: 1336533637 verify on NPPES ↗
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. Ruchir Shah is an internal medicine specialist in Waco, TX, with 11 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 1,198 Medicare services across 989 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shah received a total of $5,364 from 32 pharmaceutical and/or device companies across 137 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 11 years in practice ▲ Top 30% volume in TX $5,364 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,198
Medicare services
Top 30% in TX for internal medicine
989
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~109 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
Office visit, established patient (30-39 min) 177 $92 $209
EKG interpretation and report 162 $6 $41
Echocardiogram, transthoracic 162 $59 $405
Routine electrocardiogram (ecg) using at least 12 leads with tracing 157 $5 $48
New patient office visit (45-59 min) 90 $117 $322
Hospital follow-up visit, high complexity 82 $88 $201
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 59 $15 $107
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 59 $10 $71
Nuclear medicine studies of heart muscle at rest and with stress and spect 44 $56 $348
Initial hospital admission, high complexity 37 $133 $392
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 28 $18 $450
Injection, perflutren lipid microspheres, per ml 22 $36 $621
Ultrasound of heart, follow-up 20 $33 $215
Ultrasound of heart with probe in esophagus, with report 18 $81 $508
Ultrasound of heart blood flow, valves and chambers, follow-up 18 $9 $52
Ultrasound of heart with color-depicted blood flow, rate and valve function 18 $7 $41
Heart rhythm review and interpretation of continous external ekg over 8-15 days 16 $20 $450
Ultrasound of heart blood flow, valves and chambers 16 $14 $90
External shock to heart to regulate heart beat 13 $81 $988
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.
17.9% high complexity
18.5% medium
63.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,364
Total received (2018-2024)
Avg $766/year across 7 years
Top 15% in TX for internal medicine
32
Companies
137
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
$5,243 (97.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$121 (2.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,411
2023
$823
2022
$1,750
2021
$557
2020
$128
2019
$309
2018
$386

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BIOTRONIK INC.
$1,423
Abbott Laboratories
$591
Novartis Pharmaceuticals Corporation
$315
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$276
PFIZER INC.
$260
Boston Scientific Corporation
$211
Inari Medical, Inc.
$187
Boehringer Ingelheim Pharmaceuticals, Inc.
$182
AstraZeneca Pharmaceuticals LP
$167
E.R. Squibb & Sons, L.L.C.
$152
HEARTFLOW, INC.
$147
Medtronic, Inc.
$134
Shockwave Medical, Inc
$128
BOSTON SCIENTIFIC CORPORATION
$124
Astellas Pharma US Inc
$121
Novo Nordisk Inc
$120
Relypsa, Inc.
$119
Medtronic Vascular, Inc.
$100
EKOS Corporation
$93
ShockWave Medical, Inc
$82
ABIOMED
$75
Edwards Lifesciences Corporation
$72
Amgen Inc.
$66
iRhythm Technologies, Inc.
$36
Janssen Pharmaceuticals, Inc
$29
Terumo Medical Corporation
$28
Pacira Pharmaceuticals Incorporated
$26
Merck Sharp & Dohme LLC
$22
CARDIVA MEDICAL, INC.
$21
Kiniksa Pharmaceuticals International, plc
$21
Lantheus Medical Imaging, Inc.
$20
Teleflex LLC
$16
Top 3 companies account for 43.4% of total payments
Associated products mentioned in payments ›
AMPLATZER Occluders · AMPLATZER TALISMAN · ANDEXXA · ASSURITY · AVEIR · AZURE XT DR MRI SURESCAN · Acticor 7 VR-T DX · Arcalyst · BIOMONITOR · BRILINTA · CAMZYOS · CARDIVA VASCADE 6/7F VCS · CONFIRM RX · DEFINITY · EKOSONIC · ELIQUIS · EMBLEM MRI S-ICD · ENTRESTO · ESPRIT · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Evera · Exparel · FARXIGA · FFRct · FLOWTRIEVER CATHETER · GALLANT · GUARDIAN · General - Therapies · Impella · JARDIANCE · JOT DX · LEQVIO · LEXISCAN · LUX-Dx Insertable Cardiac Monitor · LifeVest · MERLIN@HOME · PACEART SYSTEM ECG MODULE · Repatha · Rivacor 7 DR-T · Rybelsus · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TR BAND · VALITUDE CRT-P · VERQUVO · Vascular Lithotripsy · Veltassa · WATCHMAN · XARELTO · ZIO XT Patch
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $448 per 100 Medicare services performed
Looking for an internal medicine specialist in Waco?
Compare internal medicine physicians in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
61
Per 100K population
23.1
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Shah is a cardiac & cardiac specialist, with above-average Medicare volume (top 30% in TX), with low-engagement industry engagement in the top 15% of TX peers.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Shah experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shah performed 177 office visit, established patient (30-39 min) 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 $5,364 from 32 companies across 137 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 internal medicine physicians in Waco?
Dr. Shah's average Medicare payment per service is $50. 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →