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    OpenPayerNPI Medicare & MedicaidEdnan Sheikh
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    Ednan Sheikh — Billing Profile & Reimbursement Data

    NPI 1013128016 · Clifton, NJ · Pain Medicine (Anesthesiology) Physician

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    Ednan Sheikh is a pain medicine (anesthesiology) physician provider located in Clifton, New Jersey. This profile covers 20 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdnan Sheikh
    Address1037 Us Highway 46 Ste 103a
    CityClifton
    StateNJ
    ZIP07013
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedMay 24, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$589.5K
    Medicaid$28K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64450The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.5,920$50$307.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…750$110$81.6K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…410$150$63.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.410$60$25.3K
    64418The provider injects an anesthetic agent and/or steroid close to the suprascapular nerve, which is located above the flat triangular bone at the back of the shoulder known as the shoulder blade.…220$110$24.6K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…440$50$23K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…580$30$15.8K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…500$30$13.6K
    64405The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…220$50$11K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).30$240$7.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04811460110$150$64.8K
    8030744100310$60$59.5K
    9921497113,640130$90$23.6K
    6448322933060$230$20.3K
    971241750360$20$13K
    971403,4243,500420$20$10.3K
    206108061,11080$60$10K
    6445018030$50$9.8K
    95887210130$70$9K
    9588623128060$80$8.6K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…410$70$27.6K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…10$20$310

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,1283,790580$60$204K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…243080$30$39.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ednan Sheikh, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aja Marie SnowNYPhysician Assistant$92.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Ednan Sheikh, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Med Screen Laboratories IncNJClinical Medical Laboratory$177.8K$29M
    Casa Home Care, IncNJHome Health Agency$0$21.7M
    Clifton Adult Opportunity CenterNJDevelopmentally Disabled Services Day Training Agency$0$21.4M
    Mental Health Clinic Of Passaic IncNJCommunity/Behavioral Health Agency$0$16.7M
    Fares Diarbakerli Md PCNJObstetrics & Gynecology Physician$0$16.5M
    National Vision Administrators, LLCNJEyewear Supplier$0$15.4M
    Charles Haddad, MdNJObstetrics & Gynecology Physician$0$12.6M
    Clifton Board Of EducationNJLocal Education Agency (LEA)$0$11.9M
    Adult Family Health Services LLCNJMental Health Counselor$0$9.7M
    Cassovia Ambulance Limited Liability CompanyNJLand Ambulance$1.4M$100K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Ednan Sheikh — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Ednan Sheikh — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey