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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVinit Shah
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    Vinit Shah — Billing Profile & Reimbursement Data

    NPI 1225567720 · Edison, NJ · Internal Medicine Physician

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    Vinit Shah is a internal medicine physician provider located in Edison, New Jersey. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVinit Shah
    Address102 James St Ste 304
    CityEdison
    StateNJ
    ZIP08820
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 8, 2017

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

    Payer SourceTotal Paid
    Medicare$172.7K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…70$1,250$86.1K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…40$1,010$39.2K
    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…120$130$16.1K
    36471In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…70$170$11.7K
    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…60$110$6.2K
    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…100$50$5.1K
    36470The provider injects a sclerosing solution into one vein, most commonly to treat a varicose vein. It may be used to treat other vascular malformations except spider veins (telangiectasia).50$100$4.9K
    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…30$80$2.3K
    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…10$80$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36465154030$1,210$107.3K
    36475215030$970$50.5K
    992149,78713,640130$90$23.6K
    9921311,62214,090100$70$13.1K
    3647183030$150$10K
    992045577,16040$130$6.5K
    992035,0945,66040$80$4.8K
    3647021040$110$3.7K
    769423037020$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Vein Restoration Nj LLCNJVascular Surgery Physician$0$9.6M
    Sean StewartMDEmergency Medicine Physician$1.2M$0
    John ChubackNJThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$1M$0
    David FengNJSpecialist$798.8K$0
    Theresa SotoVAObstetrics & Gynecology Physician$703.1K$0
    Thomas MilitanoDCThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$511.1K$0
    John RossiPASurgery Physician$482.7K$0
    Khanh NguyenMDEmergency Medicine Physician$357.3K$0
    Maxim KarabachNJInternal Medicine Physician$246.4K$0
    Gregory RuthCOVascular Surgery Physician$229.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$72.1M
    Community Hospital Group IncNJGeneral Acute Care Hospital$0$71.5M
    Sewa Adult Day Care LLCNJAdult Care Home Facility$0$26.3M
    Nirvana Adult Day Care LLCNJAdult Day Care Clinic/Center$0$23.4M
    Golden Era Medical Adult Day Care LLCNJAdult Day Care Clinic/Center$0$19.3M
    Edison Adult Day Care Center, LLCNJAdult Day Care Clinic/Center$0$16.9M
    Care Forever Adult Day Care Center LLCNJAdult Day Care Clinic/Center$0$13.6M
    Rnj Services, IncNJClinical Medical Laboratory$5.8M$7.5M
    Avantic Medical LabNJClinical Medical Laboratory$604.6K$5.7M
    Q Answer Lab IncNJClinical Medical Laboratory$1.6M$2.7M

    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. New Jersey Distribution
    Vinit Shah — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey