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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNaishaj Shah
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    Naishaj Shah — Billing Profile & Reimbursement Data

    NPI 1336360882 · Myrtle Beach, SC · Family Medicine Physician

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    Naishaj Shah is a family medicine physician provider located in Myrtle Beach, South Carolina. This profile covers 27 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
    OrganizationNaishaj Shah
    Address831 82nd Pkwy
    CityMyrtle Beach
    StateSC
    ZIP29572
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 1, 2007

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

    Payer SourceTotal Paid
    Medicare$258.8K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,080$80$82.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit650$120$80.6K
    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…550$60$30.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…40$270$10.6K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$200$10.5K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…140$70$9.8K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…40$150$5.8K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$160$5.2K
    G0008Administration of influenza virus vaccine140$30$4.1K
    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…60$70$4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143207,860160$80$23.2K
    G043991,87080$120$14.5K
    992322,2822,78090$60$12K
    992135947,690100$60$10.8K
    906772871,23020$280$8.9K
    992041,4874,52040$110$6.4K
    906622211,37050$70$5.5K
    994962630020$190$5K
    G04388845020$150$4K
    6921015728040$30$3.1K

    Showing 1–10 of 27

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acs Primary Care Physicians - Southeast PCSCEmergency Medicine Physician$0$81.7M
    Grand Strand Pediatrics & Adolescent Medicine, P.A.SCPediatric Adolescent Medicine Physician$0$28M
    Grand Strand Regional Medical Center LLCSCGeneral Acute Care Hospital$0$27.4M
    Carolina Regional Surgery Center. LtdSCAmbulatory Surgical Clinic/Center$3M$1.7M
    Coastal Carolina Primary Care, LLCSCEndocrinology, Diabetes & Metabolism Physician$0$4M
    Brandon CoakleySCMOHS-Micrographic Surgery Physician$3.5M$0
    Parkway Surgery CenterSCAmbulatory Surgical Clinic/Center$3.5M$0
    Jordan HendersonSCHematology & Oncology Physician$3.1M$0
    Dejuania Brown-rawlsSCHematology & Oncology Physician$2.8M$0
    David LazarSCRheumatology Physician$2.7M$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. South Carolina Distribution
    Naishaj Shah — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina