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    OpenPayerNPI Medicare & MedicaidAjit Shah
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    Ajit Shah — Billing Profile & Reimbursement Data

    NPI 1245227735 · Lexington, KY · Nuclear Medicine Physician

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    Ajit Shah is a nuclear medicine physician provider located in Lexington, Kentucky. This profile covers 10 Medicare and 1 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
    OrganizationAjit Shah
    Address800 Rose St # Hx332e
    CityLexington
    StateKY
    ZIP40536
    TaxonomyNuclear Medicine Physician
    NPI EnumeratedSeptember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$49.1K
    Medicaid$16.7K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…30$1,180$38.9K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries40$60$2.1K
    78264The provider images the stomach after the patient consumes a liquid, solid, or semisolid meal that has a radiopharmaceutical or tracer added to it. The provider then takes immediate and ongoing…70$30$1.7K
    78582In this diagnostic procedure, the provider performs both pulmonary ventilation and perfusion imaging in a nuclear scan test that evaluates the circulation of air and blood within the patient’s lungs.40$40$1.7K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…50$30$1.4K
    78803The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…30$40$1.1K
    78226The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;…30$30$890
    78315The provider performs a three–phase bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the…20$30$540
    78227The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;…20$30$530
    78580In this diagnostic procedure, the provider performs a nuclear perfusion imaging test to evaluate the circulation of blood within the patient’s lungs. He does this to identify the presence of any…10$30$300

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788157010060$210$19.1K
    A955291050$200$15.1K
    7831561020$60$1.1K
    7830667020$40$990
    7858222010$40$920
    7826412020$40$830
    7880321020$40$800
    7822762010$30$560
    7858091020$30$460
    7822611010$30$410

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78264The provider images the stomach after the patient consumes a liquid, solid, or semisolid meal that has a radiopharmaceutical or tracer added to it. The provider then takes immediate and ongoing…500$30$16.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78264The provider images the stomach after the patient consumes a liquid, solid, or semisolid meal that has a radiopharmaceutical or tracer added to it. The provider then takes immediate and ongoing…530200$230$79.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of KentuckyKYGeneral Acute Care Hospital$0$716.8M
    Kentucky Medical Services Foundation, IncKYInternal Medicine Physician$0$110.4M
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Kentucky Medical Services FoundationKYNurse Practitioner$0$12.5M
    University Of KentuckyKYDentist$0$4.3M
    Kentucky Medical Services FoundationKYPhysician Assistant$0$3.4M
    Kentucky Medical Services FoundationKYPediatrics Physician$0$3.3M
    Joseph RacanelliNYDiagnostic Radiology Physician$945.7K$478.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Romulo AlbuquerqueKYRetina Specialist (Ophthalmology) Physician$3.8M$0
    Kentucky Medical Services FoundationKYClinical Pathology/Laboratory Medicine Physician$0$3M
    Jameson DupreeKYOphthalmology Physician$1.5M$0
    Elena SamoilovaKYAnatomic Pathology & Clinical Pathology Physician$110.7K$974.6K
    Sun YiKYRadiation Oncology Physician$646.6K$0
    Frances MartinKYUrology Physician$532.8K$0
    Andrew SavoieKYPhysical Medicine & Rehabilitation Physician$470.2K$0
    Sarah DeraneyKYDiagnostic Radiology Physician$302.4K$0
    Samuel ThompsonKYInternal Medicine Physician$244.4K$0
    Matthew LuckettKYOrthopaedic Surgery Physician$236.2K$0

    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. Kentucky Distribution
    Ajit Shah — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Ajit Shah — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky