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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAjay Shah
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    Ajay Shah — Billing Profile & Reimbursement Data

    NPI 1144486523 · Eatontown, NJ · Cardiovascular Disease Physician

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    Ajay Shah is a cardiovascular disease physician provider located in Eatontown, New Jersey. This profile covers 42 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAjay Shah
    Address274 Highway 35
    CityEatontown
    StateNJ
    ZIP07724
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 5, 2008

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

    Payer SourceTotal Paid
    Medicare$239.5K
    Medicaid$0

    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.

    42 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…640$100$61.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…500$70$36.1K
    99232The 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…300$60$18.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…60$270$17.1K
    99223The 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…120$140$16.9K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose30$480$14.3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…50$150$7.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.910$10$5.5K
    J2785Injection, regadenoson, 0.1 mg110$40$4.8K
    99204The provider sees a new 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 provider…40$130$4.7K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9330690990220$100$25.8K
    992141,35713,640130$90$23.6K
    992333,4714,270110$100$22.5K
    7845231465060$240$19.9K
    992321,7536,220120$70$18.4K
    992911,5751,97050$180$16.1K
    9921312,68914,090100$70$13.1K
    J2785217300190$40$12.4K
    992231,0864,98050$140$11.8K
    9392540143030$180$10.8K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Barnabas Health Medical Group PCNJSpecialist$0$40M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Azz Medical Associates PCNJInternal Medicine Physician$0$12.1M
    Rwjbh Primary Care ServicesNJInternal Medicine Physician$0$8.6M
    Anjum TanwirNJCardiovascular Disease Physician$2.5M$1.3K
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K
    Jehad SalibaNJPulmonary Disease Physician$1.3M$8.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fordham-lewis Consulting, L.L.C.NJCommunity/Behavioral Health Agency$0$25.6M
    Premier Mental & Behavioral Services, IncNJMental Health Clinic/Center (Including Community Mental Health Center)$0$8.4M
    Pathology Solutions LLCNJClinical Medical Laboratory$2.4M$5.4M
    Advanced Endoscopy & Surgical Center LLCNJAmbulatory Surgical Clinic/Center$1.2M$4.1M
    A2z Diagnostics LLCNJClinical Medical Laboratory$1.1M$3.2M
    Center For Ambulatory And Minimally Invasive Surgery LLCNJAmbulatory Surgical Clinic/Center$1.6M$697K
    Atlantic Surgery Center,llcNJAmbulatory Surgical Clinic/Center$2.3M$0
    Stacey LongoNJClinical Pathology/Laboratory Medicine Physician$2M$410
    Hackensack Meridian Ambulatory Care, Inc.NJHome Infusion Therapy Pharmacy$116.6K$1.5M
    Eran ZacksNJClinical Cardiac Electrophysiology Physician$870.3K$0

    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
    Ajay Shah — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey