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NPI 1154372621 · Fair Lawn, NJ · Clinical Neurophysiology Physician
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Nilay Shah is a clinical neurophysiology physician provider located in Fair Lawn, New Jersey. This profile covers 24 Medicare and 6 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Nilay Shah |
| Address | 14-01 Broadway Ste B |
| City | Fair Lawn |
| State | NJ |
| ZIP | 07410 |
| Taxonomy | Clinical Neurophysiology Physician |
| NPI Enumerated | May 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $258.2K |
| Medicaid | $2.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95716 | The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG… | 70 | $1,020 | $69.1K |
| 95816 | Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG… | 80 | $350 | $28.6K |
| 99213 | The 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… | 330 | $70 | $24.3K |
| 95913 | In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 90 | $250 | $23.8K |
| 95813 | An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer… | 50 | $390 | $20.2K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 190 | $90 | $16.6K |
| 95957 | In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG. | 60 | $240 | $15.3K |
| 95720 | A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is… | 70 | $180 | $11.9K |
| 95700 | The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient… | 30 | $200 | $6.1K |
| 99204 | The 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 | $140 | $5.8K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95716 | 3 | 10 | 230 | $990 | $181K |
| 99214 | 11,489 | 13,640 | 130 | $90 | $23.6K |
| 95720 | 33 | 60 | 90 | $170 | $22.2K |
| 93890 | 22 | 30 | 60 | $210 | $20.2K |
| 95813 | 8 | 20 | 40 | $310 | $18.7K |
| 99232 | 5,950 | 6,220 | 120 | $70 | $18.4K |
| 93886 | 49 | 70 | 50 | $200 | $16.6K |
| 99213 | 2,434 | 14,090 | 100 | $70 | $13.1K |
| 95816 | 38 | 130 | 50 | $160 | $11.8K |
| 95957 | 6 | 20 | 30 | $220 | $11.4K |
Showing 1–10 of 24
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95831 | N/A | 100 | $20 | $1.8K |
| 99213 | The 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… | 30 | $30 | $830 |
| 97750 | The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the… | 20 | $10 | $100 |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 20 | $1 | $30 |
| 95851 | In this procedure, the provider measures the range of motion of a single section of spine or a single extremity, excluding the hand. Range of motion measurement tests how much movement exists at a… | 90 | $0 | $0 |
| 99358 | Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient. | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 4,036 | 4,450 | 740 | $40 | $229.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 591 | 660 | 190 | $30 | $42.6K |
| 97750 | The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the… | 12 | 10 | 150 | $10 | $4.2K |
| 99358 | Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient. | 12 | 20 | 30 | $40 | $4K |
| 95831 | N/A | 3 | 10 | 110 | $10 | $1.4K |
| 95851 | In this procedure, the provider measures the range of motion of a single section of spine or a single extremity, excluding the hand. Range of motion measurement tests how much movement exists at a… | 4 | 10 | 90 | $1 | $620 |
Other providers in the same ZIP code as Nilay Shah, ranked by combined Medicare and Medicaid revenue.
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