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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDhiren Shah
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    Dhiren Shah — Billing Profile & Reimbursement Data

    NPI 1356337810 · Toms River, NJ · Pulmonary Disease Physician

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    Dhiren Shah is a pulmonary disease physician provider located in Toms River, New Jersey. This profile covers 31 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
    OrganizationDhiren Shah
    Address3 Plaza Dr
    CityToms River
    StateNJ
    ZIP08757
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 21, 2005

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

    Payer SourceTotal Paid
    Medicare$388.3K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…800$100$80.4K
    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…690$100$72.2K
    99232The 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…640$70$42.7K
    99223The 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…250$140$35.2K
    99291Critical 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…180$180$32.2K
    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…450$70$31.3K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…900$30$29.8K
    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…80$140$11K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.240$40$10K
    93042The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…1,160$10$6.9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,13813,640130$90$23.6K
    992332094,270110$100$22.5K
    992326636,220120$70$18.4K
    992912501,97050$180$16.1K
    992131,58014,090100$70$13.1K
    992232924,98050$140$11.8K
    906771,5151,78020$280$8.5K
    712509362090$60$8.5K
    95811829030$240$8.4K
    906941,1311,46070$70$8.4K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barnabas Health Medical Group PCNJSpecialist$0$40M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Azz Medical Associates PCNJInternal Medicine Physician$0$12.1M
    Anjum TanwirNJCardiovascular Disease Physician$2.5M$1.3K
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K
    Jehad SalibaNJPulmonary Disease Physician$1.3M$8.6K
    Isaac EzonNJRetina Specialist (Ophthalmology) Physician$966.8K$0
    Anshu GargNJCardiovascular Disease Physician$759.9K$0
    Isaac TawfikNJInterventional Cardiology Physician$714.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Open Door Of New JerseyNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$26.8M
    Advanced Behavioral Care Services, LLCNJCommunity/Behavioral Health Agency$0$13.5M
    Robert LeeNJDermatology Physician$941.5K$0
    Chi WuNJPhysical Medicine & Rehabilitation Physician$402.2K$0
    Patrick AlcasidNJPulmonary Disease Physician$353.6K$0
    Physicians Surgicenter LLCNJAmbulatory Surgical Clinic/Center$349.9K$0
    Emad KamelNJPulmonary Disease Physician$308.1K$0
    Walter WynkoopNJPulmonary Disease Physician$293.5K$0
    Muhammad KhanNJPulmonary Disease Physician$284.5K$0
    Ramesh KumarNJRheumatology Physician$274.1K$20

    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. New Jersey Distribution
    Dhiren Shah — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey