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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMihir Shah
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    Mihir Shah — Billing Profile & Reimbursement Data

    NPI 1366885451 · Philadelphia, PA · Urology Physician

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    Mihir Shah is a urology physician provider located in Philadelphia, Pennsylvania. This profile covers 14 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
    OrganizationMihir Shah
    Address833 Chestnut St Ste 703
    CityPhiladelphia
    StatePA
    ZIP19107
    TaxonomyUrology Physician
    NPI EnumeratedApril 9, 2013

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

    Payer SourceTotal Paid
    Medicare$64.2K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    55867The provider excises part of the prostate gland using a laparoscopic approach. The provider also performs a vasectomy, incises and enlarges the urethra, and takes measures to prevent blood loss after…20$870$14.7K
    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…170$80$13.8K
    52649Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men. BPH often causes lower urinary symptoms, with…10$690$9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…70$100$6.7K
    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…120$50$5.9K
    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$110$5.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$120$2.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$110$1.6K
    55700Code deleted December 31, 2025.10$100$1.2K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…30$40$1.2K

    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

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    52649101020$650$19.6K
    992148,02723,230100$80$14.5K
    5200020640070$140$13.9K
    5586711020$840$12.5K
    992154,6427,17040$120$8.6K
    5570017121020$260$8.4K
    992137,42822,37070$60$7.7K
    992042,52510,29030$110$5K
    992226,2647,85030$100$4.3K
    51720416040$60$3.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Abington Memorial HospitalPAGeneral Acute Care Hospital$0$16.6M
    Einstein Practice Plan IncPAEmergency Medicine Physician$0$13.9M
    Kennedy Medical Group Practice, P.C.NJFamily Medicine Physician$0$12.9M
    Einstein Practice Plan, IncPAObstetrics & Gynecology Physician$0$11.4M
    Einstein Practice Plan IncPADiagnostic Radiology Physician$0$9.6M
    Einstein Practice Plan IncPAPediatrics Physician$0$8M
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Joshua CantorPAAnatomic Pathology & Clinical Pathology Physician$2.2M$140.6K
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Mihir Shah — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania