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    OpenPayerNPI Medicare & MedicaidKetan Shah
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    Ketan Shah — Billing Profile & Reimbursement Data

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    NPI 1144575788 · Houston, TX · Vascular & Interventional Radiology Physician

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    Ketan Shah is a vascular & interventional radiology physician provider located in Houston, Texas. This profile covers 18 Medicare and 5 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
    OrganizationKetan Shah
    Address1515 Holcombe Blvd
    CityHouston
    StateTX
    ZIP77030
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedJuly 19, 2012

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

    Payer SourceTotal Paid
    Medicare$29.4K
    Medicaid$19.7K

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…30$270$6.7K
    32408In this procedure, the provider removes a core tissue sample from a lung or the mediastinum to diagnose conditions such as lung or mediastinal cancer. The code includes imaging guidance, when…30$120$3.3K
    50435The provider uses ultrasound and/or fluoroscopy, imaging technologies that display live images on a video monitor, to exchange a nephrostomy catheter through a percutaneous (through the skin) route…30$90$2.6K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…40$60$2K
    38505The provider excises or biopsies lymph nodes lying near the surface of the body using a needle. The provider commonly performs this procedure to identify and diagnose the cause of disease in the…30$70$1.8K
    77013In this procedure, the provider uses computed tomography guidance to locate the parenchymal tissues, meaning the distinctive tissues of an organ or growth, and to monitor their ablation. Use this…10$150$1.6K
    49406The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained.10$120$1.5K
    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…60$20$1.4K
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…20$80$1.2K
    32557Using imaging guidance, the provider places a small tube through a small incision into the patient’s chest for drainage.10$90$1.2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    365614923020$350$7.8K
    938801,2131,80040$100$6.7K
    4908329332040$80$3.9K
    710451,5061,870370$10$3.8K
    32557142020$150$3.1K
    77013121020$140$2.4K
    324081712020$130$2.4K
    49406243010$140$2.1K
    5043563020$90$1.7K
    770127028020$60$1.7K

    Showing 1–10 of 18

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…790$10$7.1K
    99153The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…410$20$6.1K
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.260$10$2.6K
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…20$160$2.6K
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…110$10$1.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…142030$110$22K
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.165070$20$3.7K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…18120120$10$3.3K
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…52030$10$1.3K
    99153The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…44040$10$1.2K

    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. Texas Distribution
    Ketan Shah — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Ketan Shah — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas