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Sangita Shah, OD

Optometrist · Sunnyvale

NPI 1649346701

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Shah’s office at (408) 524-5900 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$34,322

Medicare paid this office $34,322 for 302 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)204$18,434$90
New patient visit (45+ min)43$6,073$141
Imaging of optic nerve70$2,314$33
Short return visit (20+ min)25$2,001$80
New patient visit (30+ min)19$1,426$75
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)204$18,434$90
New patient visit (45+ min)43$6,073$141
Imaging of optic nerve70$2,314$33
Short return visit (20+ min)25$2,001$80
New patient visit (30+ min)19$1,426$75
Exam of visual field with extended testing23$1,332$58
Photography of the retina14$442$32
Imaging of retina11$360$33

Who their Medicare patients are

302 Original Medicare patients in 2024. Average age 76 · Women 58% · Also on Medicaid 8% · Health risk score 0.91. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 71% · Diabetes 41% · Chronic kidney disease 27% · Coronary heart disease 22% · Cancer 14% · Atrial fibrillation 11% · Depression 11% · Heart failure 10% · COPD 5%.

The office billed $153,400, Medicare allowed $54,951 and paid $34,322; for 436 services of 14 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024302436760.91$153,400$34,322
2023338478770.87$159,341$39,878
2022392560760.87$179,723$47,028
2021404602760.93$189,265$51,320
2020362554751.01$171,191$41,793
2019494759751.02$251,018$59,988
2018425676750.94$217,625$54,727
2017512880750.97$283,304$68,434
2016417609751.00$199,676$49,647
2015405629750.97$217,002$56,064
2014392569740.87$197,589$47,359
2013330415750.89$153,214$38,250

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)257$26,511$103
New patient visit (45+ min)26$3,105$119
Imaging of optic nerve81$2,670$33
New patient visit (30+ min)25$2,022$81
Short return visit (20+ min)24$2,006$77
Exam of visual field with extended testing22$1,228$56

2022: 10 services

Original Medicare services billed in 2022
Return visit (30+ min)266$28,295$105
New patient visit (30+ min)42$4,024$96
New patient visit (45+ min)29$3,862$133
Imaging of optic nerve98$3,178$32
Short return visit (20+ min)37$2,748$72
New patient complete exam of visual system18$2,442$136
Exam of visual field with extended testing23$1,312$57
Photography of the retina11$330$30
Imaging of front third of eye12$252$21
Ultrasound scan of cornea to determine thickness11$116$11

2021: 10 services

Original Medicare services billed in 2021
Return visit (30+ min)288$30,472$105
Imaging of optic nerve105$3,623$35
New patient visit (45+ min)26$3,442$132
New patient complete exam of visual system23$3,095$135
New patient visit (30+ min)32$2,911$91
Exam of visual field with extended testing46$2,838$62
Short return visit (20+ min)28$2,669$86
Established patient complete exam of visual system11$1,046$95
Imaging of front third of eye11$349$32
Ultrasound scan of cornea to determine thickness14$151$11

2020: 8 services

Original Medicare services billed in 2020
Return visit (30+ min)152$13,943$91
Established patient complete exam of visual system123$12,494$101
Imaging of optic nerve93$3,083$33
New patient complete exam of visual system30$2,893$96
Exam of visual field with extended testing47$2,718$57
New patient visit (30+ min)27$2,375$88
Short return visit (20+ min)29$2,134$69
Ultrasound scan of cornea to determine thickness11$111$10

2019: 9 services

Original Medicare services billed in 2019
Established patient complete exam of visual system227$24,420$107
New patient complete exam of visual system109$11,991$110
Return visit (30+ min)77$7,038$91
Imaging of optic nerve119$4,145$35
Short return visit (20+ min)60$3,758$57
Exam of visual field with extended testing57$3,504$61
New patient visit (30+ min)27$2,464$91
Photography of the retina18$925$51
Ultrasound scan of cornea to determine thickness28$315$11

2018: 9 services

Original Medicare services billed in 2018
Established patient complete exam of visual system224$23,975$107
New patient complete exam of visual system86$11,280$131
Return visit (30+ min)68$5,684$82
Imaging of optic nerve105$3,745$36
Exam of visual field with extended testing57$3,566$61
Short return visit (20+ min)31$2,220$63
Photography of the retina22$1,180$54
New patient visit (30+ min)14$1,103$79
Ultrasound scan of cornea to determine thickness33$451$14

2017: 9 services

Original Medicare services billed in 2017
Established patient complete exam of visual system217$22,284$103
New patient complete exam of visual system136$15,054$111
Return visit (30+ min)115$10,071$85
Exam of visual field with extended testing80$5,723$61
Photography of the retina61$4,170$66
Short return visit (20+ min)53$4,020$63
Imaging of optic nerve95$3,211$34
New patient visit (30+ min)30$2,186$73
Ultrasound scan of cornea to determine thickness37$482$13

2016: 9 services

Original Medicare services billed in 2016
Established patient complete exam of visual system216$22,191$102
New patient complete exam of visual system79$8,767$111
Short return visit (20+ min)64$4,117$59
Return visit (30+ min)42$4,003$95
Exam of visual field with extended testing52$3,468$60
New patient visit (30+ min)22$1,887$86
Imaging of optic nerve47$1,856$39
Photography of the retina19$1,524$80
Ultrasound scan of cornea to determine thickness20$243$12

2015: 8 services

Original Medicare services billed in 2015
Established patient complete exam of visual system247$28,196$113
New patient complete exam of visual system84$10,120$120
Exam of visual field with extended testing53$4,549$64
Short return visit (20+ min)53$4,071$66
Imaging of optic nerve55$2,454$45
New patient visit (30+ min)26$2,293$88
Photography of the retina21$1,707$81
Ultrasound scan of cornea to determine thickness21$295$14

2014: 9 services

Original Medicare services billed in 2014
Established patient complete exam of visual system217$22,375$102
New patient complete exam of visual system80$9,353$117
Short return visit (20+ min)62$4,228$57
Exam of visual field with extended testing49$3,621$57
Photography of the retina27$2,097$78
New patient visit (30+ min)25$1,758$70
Imaging of optic nerve30$1,279$43
New patient visit (15+ min)12$839$70
Short return visit11$435$40

2013: 6 services

Original Medicare services billed in 2013
Established patient complete exam of visual system180$18,834$105
New patient complete exam of visual system75$9,465$126
Short return visit (20+ min)47$3,359$59
New patient visit (30+ min)26$2,491$96
Exam of visual field with extended testing22$1,594$53
Photography of the retina14$1,012$72

Drugs they prescribed that Part D paid

$14,412

Pharmacies billed $14,412 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 52) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.

32 generic and 20 brand-name prescriptions · $14,412 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Restasis14$11,239$803

Year by year

Part D prescribing by year
202452140% (0)38%$14,412
202322None0% (0)None$8,684
202265140% (0)35%$13,609
202162300% (0)29%$15,370
202065320% (0)40%$21,830
201961310% (0)38%$13,205
201830170% (0)57%$11,461
201735250% (0)46%$11,553
201637190% (0)35%$8,275
201552270% (0)56%$9,856
20144229NoneNone$2,026
20134433None50%$3,020

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 2 drugs

Part D drugs prescribed in 2022
Olopatadine11$248$23
Levothyroxine12$183$15

2021: 1 drug

Part D drugs prescribed in 2021
Erythromycin22$320$15

2020: 3 drugs

Part D drugs prescribed in 2020
Restasis15$19,747$1,316
Olopatadine23$1,237$54
Erythromycin14$233$17

2019: 3 drugs

Part D drugs prescribed in 2019
Restasis11$11,292$1,027
Olopatadine13$769$59
Erythromycin15$213$14

2016: 1 drug

Part D drugs prescribed in 2016
Erythromycin15$184$12

2015: 2 drugs

Part D drugs prescribed in 2015
Eliquis11$3,361$306
Erythromycin18$313$17

2014: 1 drug

Part D drugs prescribed in 2014
Erythromycin27$410$15

2013: 1 drug

Part D drugs prescribed in 2013
Erythromycin15$265$18

Money from drug and device companies

$361 in 2024

Industry payments by year
202433None$361
202111None$14
202022None$40

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Alcon VisionHydrus Microstent$135
1 payment
  • Meals for Hydrus Microstent · 2024-04-24 · $135
Tarsus PharmaceuticalsXdemvy$124
1 payment
  • Meals for Xdemvy · 2024-03-12 · $124
Bausch & Lomb AmericasMiebo$101
1 payment
  • Meals for Miebo · 2024-04-11 · $101
See all 3 published payments
Every published payment
Alcon VisionMeals · 2024-04-24Hydrus Microstent$135
Bausch & Lomb AmericasMeals · 2024-04-11Miebo$101
Tarsus PharmaceuticalsMeals · 2024-03-12Xdemvy$124
See earlier years (2021, 2020)

2021: $14

Payments by company in 2021
Johnson & Johnson Vision CareAcuvue$14
1 payment
  • Meals for Acuvue · 2021-03-10 · $14

2020: $40

Payments by company in 2020
Johnson & Johnson Vision CareAcuvue$20
1 payment
  • Meals for Acuvue · 2020-11-18 · $20
Carl Zeiss Meditec AGNone Specified$19
1 payment
  • Gift for None Specified · 2020-06-09 · $19

Professional record

NPI
1649346701
Licence
CA OPT 9923
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
323-325 North Mathilda Avenue, Sunnyvale, CA, 94085
NPI first listed
2006-11-28
NPI last updated
2010-12-15

This is when the NPI record was last certified, not a medical board exam.