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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Ankur Shah (NPI 1043653116)

Field	Value
Entity Type	Individual
Organization	Ankur Shah
Address	375 Wampanoag Trl
City	Riverside
State	RI
ZIP	02915
Taxonomy	Nephrology Physician
NPI Enumerated	April 9, 2013

Payer Source	Total Paid
Medicare	$43.8K
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
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	90	$240	$21.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$60	$7.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$90	$4.5K
99214	The 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…	40	$100	$4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$140	$3.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$110	$2.4K

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. Rhode Island Distribution

Ankur Shah — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90966	1	10	40	$220	$12.8K
99214	1,418	1,950	100	$80	$11.7K
99233	257	470	60	$90	$9.1K
99232	205	650	70	$60	$7.7K
99223	324	540	30	$130	$6.4K
99222	211	420	20	$100	$3.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Medeiros	RI	Nephrology Physician	$87.2K	$6.8M
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Susie Hu	RI	Nephrology Physician	$30.9K	$911.1K
Joseph Garland	RI	Infectious Disease Physician	$17.4K	$743.1K
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Katherine Williams	RI	Family Medicine Physician	$0	$564.8K
Gabrielle Burke	RI	Family Nurse Practitioner	$3.6K	$439.4K
Alexandra Harnois	RI	Family Nurse Practitioner	$16K	$398.2K
Donald Joyce	RI	Radiation Oncology Physician	$411.3K	$0
Brown Medicine	RI	Internal Medicine Physician	$0	$351K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$37.6M
East Bay Community Action Program	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$5M
Health Care Connections Nursing Services, Inc	RI	Home Health Agency	$0	$3.6M
City Of East Providence	RI	Local Education Agency (LEA)	$0	$2.2M
East Bay Community Action Program	RI	Community/Behavioral Health Agency	$0	$2.2M
East Bay Community Action Program	RI	Community Health Clinic/Center	$0	$1.5M
Amerita Inc	RI	Home Infusion Therapy Pharmacy	$0	$1.1M
Care Resource, LLC	RI	Home Health Agency	$0	$1.1M
City Of East Providence	RI	Local Education Agency (LEA)	$0	$768.1K

Ankur Shah — Billing Profile & Reimbursement Data

Sign up for Ankur Shah — Billing Profile & Reimbursement Data policy alerts

Ankur Shah — Billing Profile & Reimbursement Data

Sign up for Ankur Shah — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References