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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHardik Shah
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    Hardik Shah — Billing Profile & Reimbursement Data

    NPI 1326366063 · Kokomo, IN · Family Medicine Physician

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    Hardik Shah is a family medicine physician provider located in Kokomo, Indiana. This profile covers 10 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
    OrganizationHardik Shah
    Address3508 S Lafountain St
    CityKokomo
    StateIN
    ZIP46902
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 5, 2010

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

    Payer SourceTotal Paid
    Medicare$60.8K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90671This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…60$240$15.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$120$14.9K
    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…160$80$12.6K
    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…240$50$12.3K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…30$80$2.1K
    G0009Administration of pneumococcal vaccine70$30$2K
    G0008Administration of influenza virus vaccine30$30$990
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…40$10$410
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…20$30$390
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…10$10$130

    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
    992144,15910,540110$80$15.5K
    G04395702,43060$120$10.1K
    992131,73410,82080$50$7.6K
    906949221,31050$70$5.9K
    9067117010$240$3.8K
    G00081,9763,27050$30$2.2K
    G0179788030$30$1.4K
    830367711,46040$10$1.1K
    963721,2451,30050$10$720
    G0009501,71020$30$660

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Community Health Network, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$37.4M
    Zainab RashidAZDermatology Physician$3.3M$0
    Lorraine CalvertINAdult Health Nurse Practitioner$484.2K$0
    Ernest AsamoahINEndocrinology, Diabetes & Metabolism Physician$401.3K$0
    Krishna MalineniINClinical Cardiac Electrophysiology Physician$345.5K$0
    Pragneshkumar RadadiyaINFamily Medicine Physician$318.4K$0
    Chad ReichardINUrology Physician$315.7K$0
    Kevin NeeseINInternal Medicine Physician$311.8K$0
    Chris MageeINUrology Physician$288.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hopebridge, LLCINChild & Adolescent Psychiatry Physician$0$140.4M
    Community Howard Regional Health, IncINGeneral Acute Care Hospital$0$25.5M
    Bona Vista Programs, Inc.INIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.5M
    Community Howard Regional Health, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$14.9M
    Joint Heirs Pediatrics LLCINPediatrics Physician$0$12M
    Community Howard Regional Health IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$8.7M
    Indiana Health Centers, Inc.INFederally Qualified Health Center (FQHC)$0$8.6M
    Ladd Dental Group IncINGeneral Practice Dentistry$0$6.1M
    Kokomo Pediatric Dentistry, LLCINPublic Health Dentistry$0$5.5M
    Autism Brain Alternatives, IncINBehavior Analyst$0$4.4M

    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. Indiana Distribution
    Hardik Shah — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana