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NPI 1316181571 · Butler, PA · Pulmonary Disease Physician
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Shripal Shrishrimal is a pulmonary disease physician provider located in Butler, Pennsylvania. This profile covers 12 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shripal Shrishrimal |
| Address | 389 New Castle Rd |
| City | Butler |
| State | PA |
| ZIP | 16001 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | April 30, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $80.1K |
| Medicaid | $40.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 120 | $160 | $19.1K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 130 | $90 | $11.8K |
| 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… | 130 | $90 | $11.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 160 | $60 | $10K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 110 | $90 | $10K |
| 99223 | The 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… | 60 | $130 | $7.2K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 50 | $80 | $3.9K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 100 | $30 | $3K |
| 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… | 20 | $100 | $1.6K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 80 | $10 | $730 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 9,745 | 23,230 | 100 | $80 | $14.5K |
| 99233 | 1,981 | 6,630 | 70 | $90 | $12K |
| 99291 | 604 | 3,800 | 40 | $170 | $11.7K |
| 99232 | 3,005 | 10,870 | 80 | $60 | $9.6K |
| 99223 | 2,347 | 7,020 | 40 | $130 | $7.8K |
| 95811 | 9 | 150 | 30 | $170 | $7.2K |
| 95810 | 39 | 150 | 30 | $140 | $5.7K |
| 99204 | 7,634 | 10,290 | 30 | $110 | $5K |
| G0399 | 9 | 90 | 30 | $40 | $1.9K |
| 94729 | 159 | 450 | 60 | $20 | $1.7K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 190 | $130 | $24.3K |
| 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… | 230 | $30 | $7.4K |
| 95806 | A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders. | 200 | $30 | $5.6K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 40 | $70 | $2.6K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 10 | $10 | $120 |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 20 | $10 | $110 |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 10 | $10 | $80 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 70 | 90 | 150 | $270 | $105.5K |
| 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… | 3,989 | 8,160 | 210 | $60 | $68.4K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 10 | 50 | 90 | $380 | $57.8K |
| 95806 | A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders. | 8 | 40 | 40 | $60 | $9.2K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 145 | 160 | 100 | $20 | $6.2K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 110 | 130 | 80 | $20 | $5.8K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 134 | 160 | 90 | $20 | $5.3K |
Other providers in the same ZIP code as Shripal Shrishrimal, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Vocational Services | PA | Psychologist | $0 | $22.4M |
| Center For Community Resources, Inc. | PA | Case Management Agency | $0 | $19M |
| Butler Healthcare Providers | PA | General Acute Care Hospital | $0 | $10.4M |
| Family Pathways | PA | Community/Behavioral Health Agency | $0 | $6.7M |
| Butler Ambulance Service Co | PA | Ambulance | $446.9K | $2.2M |
| Jeanine Wigton | PA | Family Nurse Practitioner | $40.1K | $1.1M |
| Butler Ambulatory Surgery Center L L C | PA | Ambulatory Surgical Clinic/Center | $680.6K | $24.7K |
| David Cowan | PA | Dermatology Physician | $175.8K | $31.6K |
| Keith Welker | PA | Specialist | $147.5K | $48.1K |
| Dennis Dobrzynski | PA | Hematology & Oncology Physician | $92.1K | $26.6K |
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