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    OpenPayerNPI Medicare & MedicaidShahram Shamekh
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    Shahram Shamekh — Billing Profile & Reimbursement Data

    NPI 1063468627 · Great Neck, NY · Internal Medicine Physician

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    Shahram Shamekh is a internal medicine physician provider located in Great Neck, New York. This profile covers 59 Medicare and 60 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
    OrganizationShahram Shamekh
    Address935 Northern Blvd Ste 105
    CityGreat Neck
    StateNY
    ZIP11021
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 25, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.4M
    Medicare$673.3K

    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…400$120$49K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…250$160$39K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.9,710$1$38.8K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…270$140$37.8K
    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…360$100$37.5K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…140$240$34.6K
    95924In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic…230$140$32.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…360$80$27.2K
    95923In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…230$120$26.3K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…40$720$26K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877982240740$30$218.3K
    87581710350$30$64.6K
    87486710350$30$64.2K
    932299221030$770$40.8K
    994904661,210150$50$21K
    992144,60030,45090$100$19K
    87811961040$40$14.4K
    994871214050$110$13.2K
    99483916040$230$12.9K
    959231318040$110$12.1K

    Showing 1–10 of 59

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…3,530$90$320.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3,840$50$176.5K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…2,320$40$81.3K
    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…1,010$70$65.9K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral1,210$50$65.2K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…1,570$40$61.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…3,200$20$60.8K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…810$70$57.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,610$30$48.4K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…2,570$20$38.6K

    Showing 1–10 of 60

    Medicaid: Competitive Analysis & Benchmarks

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

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

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3030550$100$359.8K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.225260300$170$325.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3,20219,110360$70$321K
    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…4,03616,550220$90$186.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,1085,420210$70$154.3K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.280410150$190$151.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…892,05090$140$121.2K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)1212070$140$107.6K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.1,1172,010200$90$81.7K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.101200140$100$73.5K

    Showing 1–10 of 60

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David HochNYClinical Cardiac Electrophysiology Physician$4.6M$41.3K
    John RigneyNYDiagnostic Radiology Physician$850.2K$2.7M
    Vinod JayamNYCardiovascular Disease Physician$1.9M$82.5K
    Joseph LevineNYClinical Cardiac Electrophysiology Physician$1.8M$36.9K
    William ShinNYClinical Cardiac Electrophysiology Physician$1.5M$27.1K
    Joshua SternNYInternal Medicine Physician$1.4M$107.5K
    Shahram HormoziNYInterventional Cardiology Physician$1.1M$221.9K
    Gregory SirokyNYClinical Cardiac Electrophysiology Physician$822.2K$20.9K
    Kevin CassidyNYOrthopaedic Surgery Physician$567.9K$0
    Sheldon PikeNYUrology Physician$327.7K$198.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    C And T Homecare Services LLCNYIn Home Supportive Care Agency$0$847.7M
    North Shore-lij Medical PCNYUrology Physician$0$388.1M
    First Choice Home Care IncNYHome Health Agency$0$28M
    Welllife Network Inc.NYClinic/Center$0$22M
    Regioncare Inc.NYHome Infusion Agency$40.1K$9.4M
    Jonathan JonischNYOphthalmology Physician$6.4M$940.9K
    Kenneth GrahamNYOphthalmology Physician$5.6M$64.5K
    Brett RosenblattNYOphthalmology Physician$5.5M$9.3K
    David PoonNYOphthalmology Physician$4.1M$796.1K
    Jeffrey ShakinNYOphthalmology Physician$4.4M$82.4K

    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 York Distribution
    Shahram Shamekh — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Shahram Shamekh — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York