Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Niraj Shah (NPI 1174157036)

Field	Value
Entity Type	Individual
Organization	Niraj Shah
Address	6099 Riverside Dr
City	Dublin
State	OH
ZIP	43017
Taxonomy	Occupational Therapist
NPI Enumerated	February 28, 2020

Payer Source	Total Paid
Medicare	$151.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,780	$20	$83K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,080	$20	$35.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	1,180	$20	$21.2K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	120	$70	$8.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	180	$20	$2.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	50	$20	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Niraj Shah — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,619	1,680	500	$20	$12.3K
97530	5	1,320	260	$20	$10K
97112	87	1,390	290	$20	$9K
97140	615	1,180	180	$10	$5.2K
97535	4	390	70	$20	$3.9K
97166	2	90	20	$70	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liza Verne	OH	Occupational Therapist	$468.4K	$0
Elizabeth Owens	OH	Physical Therapist	$461.7K	$0
Melissa Hans	OH	Physical Therapist	$239.8K	$0
Colleen Sas	OH	Speech-Language Pathologist	$96K	$0
Janet Rosenhoffer	OH	Physical Therapist	$90.4K	$0
Beth Kleinschmidt	OH	Speech-Language Pathologist	$86.4K	$0
Jenna Snyder	OH	Speech-Language Pathologist	$68.6K	$0
Kriste Aukstuolis	MD	Speech-Language Pathologist	$59.4K	$0
Sadie Bailey	OH	Occupational Therapist	$49.8K	$0
Haley Chiero	OH	Occupational Therapist	$47.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Viaquest Psychiatric & Behavioral Solutions LLC	OH	Community/Behavioral Health Agency	$0	$130.7M
Primary Care Nursing Services, Inc.	OH	Home Health Agency	$0	$27.6M
Audiology Distribution, LLC	OH	Audiologist-Hearing Aid Fitter	$0	$21.9M
Bioscrip Pharmacy Services, Inc	OH	Home Infusion Therapy Pharmacy	$0	$19.2M
Syntero, Inc.	OH	Mental Health Counselor	$0	$8.1M
Seth Kantor	OH	Rheumatology Physician	$1.7M	$0
Stephanie Zaino	OH	Nurse Practitioner	$357.2K	$0
Brett Kockentiet	OH	MOHS-Micrographic Surgery Physician	$270.6K	$0
Ernest Debourbon	OH	Surgery Physician	$237K	$0
Charlotte Agnone	OH	Integrative Medicine Physician	$215.4K	$0

Niraj Shah — Billing Profile & Reimbursement Data

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Niraj Shah — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References