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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Roshan Shah (NPI 1245438928)

Field	Value
Entity Type	Individual
Organization	Roshan Shah
Address	161 Fort Washington Ave
City	New York
State	NY
ZIP	10032
Taxonomy	Adult Reconstructive Orthopaedic Surgery Physician
NPI Enumerated	July 5, 2007

Payer Source	Total Paid
Medicare	$405.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	100	$1,240	$125.1K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	80	$1,250	$93.8K
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…	480	$110	$52K
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…	300	$140	$42.7K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	20	$1,100	$26.4K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	60	$410	$24.8K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	150	$140	$20.2K
99205	The provider sees a new 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 provider…	30	$200	$5.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	60	$70	$4.5K
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…	20	$160	$3.8K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Roshan Shah — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	37	480	30	$1,120	$43.7K
27130	32	350	30	$1,120	$40.3K
J7326	35	120	40	$400	$22K
99214	3,127	30,450	90	$100	$19K
27446	1	10	20	$980	$14.7K
99213	21,504	31,440	80	$70	$12.1K
99215	5,525	8,280	40	$140	$10.1K
20985	12	100	40	$140	$9.1K
20610	913	1,870	60	$60	$7K
99204	70	14,170	30	$130	$6.6K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$455.2M
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$276.3K	$207.4M
Trustees Of Columbia University In The City Of New York	NY	Surgery Physician	$0	$96.9M
Trustees Of Columbia University In The City Of New York	NY	Internal Medicine Physician	$0	$54.9M
New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$49.5M
Columbia University Health Care, Inc.	NY	Dental Clinic/Center	$0	$29M
Trustees Of Columbia University In The City Of New York	NY	Internal Medicine Physician	$0	$21.4M
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$18.8M
Trustees Of Columbia University In The City Of New York	NY	Anatomic Pathology & Clinical Pathology Physician	$254.6K	$7.4M
Neil Gonter	NJ	Rheumatology Physician	$1.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Schiff	NY	Ophthalmology Physician	$1.9M	$430
Dean Preddie	NY	Nephrology Physician	$795.6K	$649.2K
David Silvers	NY	Dermatopathology Physician	$1.3M	$0
Gaetano Barile	NY	Ophthalmology Physician	$1.2M	$0
Mikhail Doubrovin	NY	Nuclear Medicine Physician	$1M	$117.9K
Thomas Flynn	NY	Ophthalmology Physician	$1M	$0
Philip Green	NY	Interventional Cardiology Physician	$867.6K	$47K
Seth Pullman	NY	Neurology Physician	$823.2K	$31K
Kimon Violaris	NY	Pediatrics Physician	$853.2K	$0
Joseph Lee	NY	Clinical Cardiac Electrophysiology Physician	$763.1K	$71.2K

Roshan Shah — Billing Profile & Reimbursement Data

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Roshan 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