Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Urvish Shah (NPI 1033286554)

Field	Value
Entity Type	Individual
Organization	Urvish Shah
Address	3937 Patient Care Drive
City	Lansing
State	MI
ZIP	48911
Taxonomy	Gastroenterology Physician
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicare	$86K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	250	$180	$44.8K
43251	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare…	120	$120	$13.8K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	150	$70	$10.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	280	$40	$10.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	270	$20	$6.1K
45381	The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous…	20	$10	$280

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Urvish Shah — 5 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	17	530	40	$270	$18.3K
45380	13	490	30	$170	$9.4K
43239	17	510	50	$110	$8.2K
43251	1	20	20	$230	$7.8K
43248	2	40	30	$170	$7K
45381	5	20	20	$160	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ella E. M. Brown Charitable Circle	MI	General Acute Care Hospital	$0	$16.6M
Ella E M Brown Charitable Circle	MI	Psychiatry Physician	$0	$13.8M
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Michael Bischoff	MI	Diagnostic Radiology Physician	$352.1K	$0
Muhammad Hameed	MI	Medical Oncology Physician	$348.5K	$0
David Byrens	MI	Family Medicine Physician	$57.3K	$238.6K
Fadi Alkhankan	WV	Pulmonary Disease Physician	$277.5K	$0
John Nay	MI	Diagnostic Radiology Physician	$244K	$0
Hassan Semaan	OH	Diagnostic Radiology Physician	$232.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Alternatives	MI	Home Health Agency	$0	$15.2M
County Of Ingham	MI	Federally Qualified Health Center (FQHC)	$0	$8.6M
Capital Internal Medicine Associates P.C.	MI	Internal Medicine Physician	$0	$7.9M
Joshua P June Do	MI	Rheumatology Physician	$0	$7M
Dental Dreams PLLC	MI	General Practice Dentistry	$0	$6.4M
D2 Dental Of Michigan	MI	Dentist	$0	$6M
Joshua June	MI	Rheumatology Physician	$1.5M	$0
Mhd Iyad Alshwaf	MI	Rheumatology Physician	$1.2M	$0
Amy Trinh	MI	Family Medicine Physician	$334.5K	$0
Richard Ferro	MI	Interventional Pain Medicine Physician	$143.2K	$0

Urvish Shah — Billing Profile & Reimbursement Data

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Urvish Shah — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References