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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShah Alam
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    Shah Alam — Billing Profile & Reimbursement Data

    NPI 1164450672 · Elmhurst, IL · Hospitalist Physician

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    Shah Alam is a hospitalist physician provider located in Elmhurst, Illinois. This profile covers 24 Medicare and 27 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
    OrganizationShah Alam
    Address155 E Brush Hill Rd
    CityElmhurst
    StateIL
    ZIP60126
    TaxonomyHospitalist Physician
    NPI EnumeratedJune 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$1M
    Medicare$96.7K

    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.

    24 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…230$100$22.6K
    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…150$140$21.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…140$100$14.7K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…60$180$11.5K
    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…90$60$5.4K
    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…20$130$2.9K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…50$60$2.6K
    76120The provider takes motion X–ray recordings to acquire a series of individual images that look like a motion picture when played back at a rapid rate. This service images a cycle of movement such as…50$50$2.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$130$2.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…10$140$1.9K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00041520530$70$383.5K
    U0005100100270$20$86.3K
    992145,39418,540110$80$17.1K
    76120710260$40$14.1K
    G04393,6664,03070$130$13.6K
    992911,0842,94050$170$13.4K
    9930662569050$140$12.5K
    9930551361060$100$11.1K
    992237676,19050$140$10.4K
    992137,97917,39070$60$8.8K

    Showing 1–10 of 24

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…5,460$90$474.9K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source2,220$40$93.2K
    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…1,060$70$77.7K
    99203The provider sees a new 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 provider…1,600$40$70.4K
    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…800$70$57.8K
    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…1,030$50$47.1K
    99385The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.480$90$43.2K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…1,560$30$39K
    99384The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.250$90$23.4K
    99386The provider performs a well–patient visit for a patient who is between the ages of 40 and 64.230$100$22.3K

    Showing 1–10 of 27

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…1250710$70$1.2M
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…205350400$70$514.7K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…81210680$20$206.4K
    A4927Gloves, non-sterile, per 100731102,260$10$149.8K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source91400550$20$90.8K
    E0700Safety equipment, device or accessory, any type18302,460$20$82.1K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc66180160$40$50.6K
    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…4,28814,680300$50$48.7K
    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…3,67314,190280$20$38.9K
    A4245Alcohol wipes, per box310300$10$36.6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Franciscan Physician NetworkINFamily Medicine Physician$0$105.4M
    Jennifer Bellucci JacksonILFamily Medicine Physician$260.2K$18.9M
    Franciscan Physician NetworkINUrgent Care Clinic/Center$0$16.2M
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Endeavor Health Medical GroupILClinical Medical Laboratory$0$7.7M
    Endeavor Health Clinical OperationsILGeneral Acute Care Hospital$0$7.1M
    Saad AhmadILOphthalmology Physician$3.3M$2.4M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Veronika KroinILPediatrics Physician$0$4.7M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Superior Air-ground Ambulance Service, IncILLand Ambulance$16.1M$90.5M
    Shield - Denver Health Care Center, Inc.ILParenteral & Enteral Nutrition Supplies (DME)$0$100.7M
    Rehabtech Supply, LLCILDurable Medical Equipment & Medical Supplies$0$89M
    Home Medical Express Inc.ILOxygen Equipment & Supplies (DME)$0$22M
    Trilab, LLCILClinical Medical Laboratory$718K$19.3M
    Total Spectrum, LLCILBehavior Analyst$0$8.5M
    Alvaro CandelILAnatomic Pathology & Clinical Pathology Physician$61.8K$6.4M
    Aaron WeinbergILRetina Specialist (Ophthalmology) Physician$3.3M$1.2M
    Kevin PatelILOphthalmology Physician$2.3M$589K
    Metro Paramedic Service IncILLand Ambulance$625.5K$1.5M

    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. Illinois Distribution
    Shah Alam — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    2 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Shah Alam — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois