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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBilal Shafi
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    Bilal Shafi — Billing Profile & Reimbursement Data

    NPI 1306923123 · Santa Cruz, CA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Bilal Shafi is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Santa Cruz, California. This profile covers 19 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
    OrganizationBilal Shafi
    Address1575 Soquel Ave
    CitySanta Cruz
    StateCA
    ZIP95065
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$266.1K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33533Coronary artery bypass, using arterial graft(s); single arterial graft40$1,290$48.9K
    99205The 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…170$190$32.3K
    33405The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…20$1,560$29.6K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…50$610$27.8K
    33534The provider diverts blood flow from damaged vessels in the heart by grafting in two arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…20$1,550$23.3K
    33427The provider performs a valvuloplasty, which is a surgical repair of the mitral valve or subvalvular structures to correct mitral stenosis or subvalvular fibrosis with the patient on a heart–lung…10$1,900$22.7K
    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…100$150$15.8K
    32663This procedure involves visualizing the chest cavity and the lobe of the lung to remove it.10$1,160$12.7K
    33866During a primary vascular procedure, the provider places a graft in a part of the aortic arch that extends under one or more of the vessels that take off from the arch including isolating and…20$730$11.7K
    33259In this procedure, at the same time as another cardiac procedure, the provider destroys extensive tissue of the atria of the heart causing an abnormal heart rhythm and then performs an extensive…20$700$11.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33427111020$1,450$23.2K
    9921436,09737,970120$90$23.2K
    335332620020$880$21.2K
    333614121030$600$21.1K
    3353421010$1,220$17.1K
    32663253010$960$16.3K
    992326,89912,28090$70$16.3K
    3340574020$950$15.2K
    9921511,97515,36050$130$14.4K
    9921320,50734,66080$70$13.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edmund TaiCAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    Janet WangCAHematology & Oncology Physician$2.4M$0
    Derrick WongCAHematology & Oncology Physician$2.1M$0
    Glenn WongCAHematology & Oncology Physician$1.8M$0
    Rohan AhluwaliaCAHematology & Oncology Physician$1.8M$0
    Hanhsing WuCAHematology & Oncology Physician$1.7M$0
    Horng Bruce LinCAVascular & Interventional Radiology Physician$1.7M$0
    Kim-son NguyenCAMedical Oncology Physician$1.5M$0
    Harrison WangCADiagnostic Radiology Physician$1.3M$0
    Scott SomersCADiagnostic Radiology Physician$878.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dientes Community Dental Care.CADentist$0$40.9M
    Dignity HealthCAGeneral Acute Care Hospital$0$33.6M
    American Medical Response WestCAAmbulance$3.1M$3.8M
    Amy McmullenCAHematology & Oncology Physician$3.5M$0
    Jay MeiselCARadiation Oncology Physician$1.9M$0
    Thaila RamanujamCASpecialist$1.9M$0
    Santa Cruz Surgery CenterCAAmbulatory Surgical Clinic/Center$1.8M$51.3K
    Benjamin PotkinCACardiovascular Disease Physician$1.7M$0
    Morgan MagidCADermatology Physician$1.3M$0
    Charlotte KimCARadiation Oncology Physician$1.1M$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. California Distribution
    Bilal Shafi — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California