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NPI 1154689156 · Wayne, NJ · Internal Medicine Physician
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Shipra Shah is a internal medicine physician provider located in Wayne, New Jersey. This profile covers 19 Medicare and 3 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 | Shipra Shah |
| Address | 1680 Route 23 Ste 160 |
| City | Wayne |
| State | NJ |
| ZIP | 07470 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | April 26, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $205K |
| Medicaid | $10.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 630 | $100 | $62.7K |
| 99091 | The provider interprets medical information, such as ECG recordings, blood pressure records, and home glucose monitoring results, received in digital form from a patient or his caregiver requiring at… | 540 | $50 | $25K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 580 | $40 | $24.9K |
| 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… | 280 | $80 | $20.9K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 410 | $50 | $18.7K |
| 99458 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.… | 550 | $30 | $18.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $140 | $8.1K |
| 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… | 60 | $140 | $8K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 30 | $240 | $5.9K |
| 99215 | The 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… | 10 | $160 | $2.2K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,396 | 13,640 | 130 | $90 | $23.6K |
| 99091 | 4 | 20 | 260 | $40 | $17.9K |
| 99213 | 3,061 | 14,090 | 100 | $70 | $13.1K |
| 99215 | 3,342 | 3,750 | 40 | $140 | $12K |
| 99457 | 42 | 330 | 160 | $40 | $11.9K |
| G0439 | 1,826 | 3,370 | 70 | $120 | $11.5K |
| 99454 | 50 | 300 | 140 | $40 | $11.3K |
| 99204 | 2,091 | 7,160 | 40 | $130 | $6.5K |
| 99458 | 17 | 210 | 80 | $30 | $6.3K |
| 99496 | 246 | 650 | 20 | $210 | $5.8K |
Showing 1–10 of 19
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 180 | $50 | $8.1K |
| 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… | 70 | $20 | $1.2K |
| 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… | 20 | $50 | $1.1K |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3,480 | 3,790 | 580 | $60 | $204K |
| 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… | 813 | 1,020 | 550 | $30 | $105.3K |
| 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… | 394 | 660 | 330 | $40 | $82K |
Other providers in the same ZIP code as Shipra Shah, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Circle Of Care For Families & Children, Inc. | NJ | Case Management Agency | $0 | $60.3M |
| Podiatry Center Of New Jersey, LLC | NJ | Podiatric Clinic/Center | $0 | $57.1M |
| Visiting Homemaker Service Of Passaic County | NJ | Home Health Agency | $0 | $13.1M |
| Basic Home Infusion, LLC | NJ | Home Infusion Therapy Pharmacy | $0 | $11.6M |
| Pulse Medical Transportation | NJ | Ambulance | $2.6M | $4M |
| Jonathan Greenberg | NJ | Ophthalmology Physician | $2.6M | $0 |
| Valley Medical Transportation, LLC | NJ | Non-emergency Medical Transport (VAN) | $1.3M | $396K |
| Michael Sakowitz | NJ | Psychologist | $24.2K | $1.1M |
| Wayne Surgical Center LLC | NJ | Ambulatory Surgical Clinic/Center | $667.5K | $0 |
| William Grella | NJ | Internal Medicine Physician | $664.1K | $0 |
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