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

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

Hemangini Shah (NPI 1336162015)

Field	Value
Entity Type	Individual
Organization	Hemangini Shah
Address	1140 Route 72 W
City	Manahawkin
State	NJ
ZIP	08050
Taxonomy	Radiation Oncology Physician
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant — and effectively only — public-payer activity on file: total Medicare revenue is $2.4M while there is no Medicaid billing on file (none below). That absence of Medicaid activity makes this an effectively single-payer Medicare practice for publicly reported payers, concentrating all reported public reimbursement risk and volume in Medicare.

Revenue is highly concentrated in a very small set of technical radiation-delivery codes: the precomputed top-3 Medicare codes account for 76.6% of this provider’s total Medicare revenue. Those three codes are G6015 (51.7% of Medicare revenue), 77014 (16.6%), and 77301 (8.3%), indicating that a few procedure types drive the vast majority of reimbursement.

The code mix and descriptions point to a practice organized around advanced external-beam radiation delivery and IMRT planning. High-revenue codes such as G6015 (intensity modulated treatment delivery), 77301 (IMRT planning), 77338 (MLC design), and 77300 (dosimetry) signal substantial capacity for IMRT and complex treatment planning rather than predominantly office-based evaluation and management.

G6015 and 77014 show exceptional national standing: G6015 is $1.2M and ranks #21 of 1429 providers nationally (99th percentile; extreme outlier), and 77014 is $392.7K and ranks #30 of 4303 providers nationally (99th percentile; extreme outlier). Those ranks indicate volumes far above typical national peers for these technical delivery codes and suggest the provider is a nationally prominent outlier for these services.

Several additional technical/service-support codes further corroborate high treatment throughput: 77300 is $141.6K and ranks #8 of 4719 providers (100th percentile; extreme outlier), 77427 is $125.6K and ranks #45 of 4720 providers (99th percentile; extreme outlier), and 77336 is $61.4K and ranks #41 of 1488 providers (97th percentile; notably above typical national volume). Together these indicate sustained, above-average activity across planning, dosimetry, and weekly physics consultation.

Clinical visit E/M billing is present but a small share of revenue and volume relative to technical therapy codes: 99204 generates $22.2K (0.9% of Medicare revenue) and 99213 is $5.7K (0.2%), with 99204 ranking #8884 of 227068 providers nationally (96th percentile; notably above typical volume). This pattern is consistent with a business model that bills mainly for treatment delivery and planning, with fewer billable office-based evaluation encounters.

The provider has an established enrollment history with an NPI enumerated on 2006-07-25 (~20 years ago), indicating long tenure in Medicare billing. Combined with the high-volume, high-ranking technical codes, the tenure suggests a sustained specialty radiation-oncology operation rather than a recent entrant.

From a payer and network management perspective, the practice’s reliance on Medicare-only public reimbursement and very high concentration in a handful of advanced-radiation CPT/HCPCS suggests both strategic specialization and exposure: the operation is clearly specialized and nationally high-volume for several technical codes, but public-payer mix is narrow (no Medicaid activity on file), which may matter for networks or contracting that seek broader payer diversity.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	3,790	$320	$1.2M
77014	N/A	3,710	$110	$392.7K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	120	$1,620	$196K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	2,490	$60	$141.6K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	790	$160	$125.6K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	250	$400	$99.8K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	70	$900	$62.2K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	800	$80	$61.4K
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…	160	$140	$22.2K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	130	$140	$17.9K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Hemangini Shah — 7 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	2	30	880	$320	$381.1K
77014	3	100	580	$70	$52.4K
77373	2	10	30	$940	$43.1K
77427	3	110	210	$160	$41.3K
77301	6	80	40	$730	$34.8K
77336	2	30	200	$80	$22.5K
77435	26	30	20	$560	$14.5K
77338	1	90	40	$250	$14.4K
99213	7,569	14,090	100	$70	$13.1K
77300	1	100	210	$40	$11.5K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shore Memorial Hospital	NJ	General Acute Care Hospital	$0	$52.4M
Michael Marchese	NJ	Radiation Oncology Physician	$1.3M	$0
Benjamin Negin	NJ	Internal Medicine Physician	$977.6K	$0
Shailja Roy	NJ	Hematology & Oncology Physician	$960.7K	$0
Hemang Dave	NJ	Hematology & Oncology Physician	$903.5K	$0
Kush Sachdeva	NJ	Specialist	$888.6K	$0
Mylene Go	PA	Hematology & Oncology Physician	$792.9K	$0
Omar Al Ustwani	NJ	Internal Medicine Physician	$670.3K	$0
Vasthi Wilson	NJ	Radiation Oncology Physician	$507.6K	$0
Joseph Lattanzi	NJ	Radiation Oncology Physician	$342.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$34.8M
Barron Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$21.7M
Rosemarie Desantis	NJ	Rheumatology Physician	$1.1M	$0
Nagalakshmi Shetty	NJ	Rheumatology Physician	$817K	$0
Walter Miller	NJ	Family Medicine Physician	$391.4K	$0
Truc Nguyen	NJ	Ophthalmology Physician	$360.2K	$0
Mahesh Tekriwal	NJ	Cardiovascular Disease Physician	$343.9K	$0
Imani Rosario	NJ	Urology Physician	$342.4K	$0
Charles Fernicola	NJ	Urology Physician	$318.3K	$0
Frank Abenante	NJ	Psychiatry Physician	$290.1K	$20.2K

Hemangini Shah — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References