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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMamta Shah
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    Mamta Shah — Billing Profile & Reimbursement Data

    NPI 1366853566 · Pittsburgh, PA · Ophthalmology Physician

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    Mamta Shah is a ophthalmology physician provider located in Pittsburgh, Pennsylvania. 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
    OrganizationMamta Shah
    Address420 E North Ave Ste 116
    CityPittsburgh
    StatePA
    ZIP15212
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 11, 2014

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

    Payer SourceTotal Paid
    Medicare$49.9K
    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
    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…290$70$20.8K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…20$770$12.3K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.20$240$4.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…90$50$4.1K
    11310The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.20$100$2.2K
    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…20$80$1.7K
    11440The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.5 cm in diameter or less and also performs a simple…10$110$1.2K
    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…20$70$1.2K
    68801In this procedure, the provider dilates the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. He may or may not perform an irrigation of the…10$110$1.2K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.30$30$960

    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
    15823577030$520$20.7K
    9921421,18723,230100$80$14.5K
    992132,54422,37070$60$7.7K
    67840365020$190$5.8K
    68801101020$80$3.8K
    992034,8317,33030$70$3.5K
    11310326020$60$2.4K
    992127604,72030$40$2.3K
    11440162020$90$2.2K
    92082256030$30$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bronxcare Health SystemNYGeneral Acute Care Hospital$0$348.5M
    Bronxcare Health SystemNYInternal Medicine Physician$0$62.3M
    Bronxcare Dr. Martin Luther King Jr. Health CenterNYFederally Qualified Health Center (FQHC)$0$60.5M
    Mahmood KazmiNYPsychiatry Physician$540.6K$760.6K
    Fanyi KongNYAnatomic Pathology & Clinical Pathology Physician$577.7K$6.8K
    Neelofar GhaznawiNYCornea and External Diseases Specialist Physician$125.2K$287.3K
    Jayanthi LoganathanNYCardiovascular Disease Physician$301.8K$21.6K
    Misbahuddin KhajaNYPulmonary Disease Physician$69.3K$179.3K
    David SchlessingerNYOphthalmology Physician$189.1K$0
    Sindhaghatta VenkatramNYPulmonary Disease Physician$49.4K$108K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cernostics, Inc.PAClinical Medical Laboratory$44.5M$83.5K
    Christian Home HealthcarePAIn Home Supportive Care Agency$0$13.7M
    West Penn Allegheny Health System Inc.PAGeneral Acute Care Hospital$0$10.8M
    West Penn Allegheny Health System Inc.PAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.6M
    Thierry VerstraetenPAOphthalmology Physician$894.3K$45K
    Robert LewenPAOphthalmology Physician$383.8K$1.1K
    Athanasios ColoniasPARadiation Oncology Physician$324.7K$0
    Paul KlepchickPADiagnostic Radiology Physician$146.7K$95.6K
    Mikhail ChilingaryanPAInternal Medicine Physician$240.2K$0
    Sameer JainPAOrthopaedic Surgery Physician$198.5K$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. Pennsylvania Distribution
    Mamta Shah — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania