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    OpenPayerNPI Medicare & MedicaidKalpit Shah
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    Kalpit Shah — Billing Profile & Reimbursement Data

    NPI 1326450040 · Oceanside, CA · Orthopaedic Hand Surgery Physician

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    Kalpit Shah is a orthopaedic hand surgery physician provider located in Oceanside, 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
    OrganizationKalpit Shah
    Address2205 Vista Way
    CityOceanside
    StateCA
    ZIP92054
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMay 29, 2014

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

    Payer SourceTotal Paid
    Medicare$115.7K
    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
    99204The 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…210$130$27.7K
    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…270$100$27.4K
    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…220$70$16.4K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.190$50$8.6K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…20$410$7K
    99203The provider sees a new 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 provider…70$90$6.4K
    29075The provider applies a cast encasing the lower arm. A short arm cast treats fractures of the bones in the lower arm and corrects deformities of the hand and wrist.50$80$4K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.10$310$3.7K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…100$40$3.7K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…10$280$3.6K

    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
    9921410,30237,970120$90$23.2K
    29848799030$520$18.6K
    6472121524020$510$17.7K
    992138,31634,66080$70$13.2K
    64718103020$470$9K
    9920464419,36040$120$7.2K
    992033,06512,74030$80$4.6K
    2529061010$260$4.3K
    205508079030$40$3.3K
    7600012234030$30$2.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Orthopedics, Inc.RIOrthopaedic Surgery Physician$0$5.3M
    Munveer BhangooCAMedical Oncology Physician$2.3M$0
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    Iain MacewanCARadiation Oncology Physician$2.2M$0
    NPI 1063405082——$2.1M$0
    Anne HannekenCAOphthalmology Physician$2.1M$0
    Rafal SosnowskiILDiagnostic Radiology Physician$1.7M$75.2K
    Kevin ChenCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Keith MillerFLRadiation Oncology Physician$1.7M$0
    Januario CastroAZHematology & Oncology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North County Health Project IncCAFederally Qualified Health Center (FQHC)$0$57.5M
    North County Health Project IncCAFederally Qualified Health Center (FQHC)$0$29.4M
    Alexandria LiCAOphthalmology Physician$1M$0
    Scripps HealthCAAmbulatory Surgical Clinic/Center$980.7K$0
    Bryan HawkinsCANeuromusculoskeletal Medicine & OMM Physician$386K$0
    Mohammad PashmforoushCACardiovascular Disease Physician$377.4K$0
    Timothy TaylorCASports Medicine (Family Medicine) Physician$352.9K$0
    Scripps HealthCAClinical Medical Laboratory$324.6K$340
    James HanCAFoot & Ankle Surgery Podiatrist$307.5K$3.6K
    Julie AspirasCASpecialist$243.9K$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
    Kalpit Shah — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California