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    OpenPayerNPI Medicare & MedicaidNeil Shah
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    Neil Shah — Billing Profile & Reimbursement Data

    NPI 1376821082 · Milwaukee, WI · Vascular & Interventional Radiology Physician

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    Neil Shah is a vascular & interventional radiology physician provider located in Milwaukee, Wisconsin. This profile covers 21 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNeil Shah
    Address945 N 12th St
    CityMilwaukee
    StateWI
    ZIP53233
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedJuly 29, 2011

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

    Payer SourceTotal Paid
    Medicare$45.3K
    Medicaid$6.5K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76706The provider performs an ultrasound (a noninvasive imaging procedure that uses high–frequency sound waves) of the abdominal aorta, the largest artery supplying blood and oxygen to organs and…190$50$9.8K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…130$50$6.2K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…110$40$4.7K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$230$4.6K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…120$20$2.7K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral220$10$2.4K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…10$180$2.4K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…20$80$1.8K
    75635The provider administers a contrast material and performs computed tomographic angiography (CTA) of the abdominal aorta and both iliofemoral arteries in the lower extremities. This procedure may…20$90$1.6K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…70$20$1.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36561228020$250$4.5K
    36558355020$190$4K
    7127541149040$60$3.5K
    7417647250040$60$3.4K
    49083778020$70$2.4K
    741746918020$100$2.4K
    938802028030$50$2.2K
    9392526020$70$2K
    75635175020$80$1.7K
    10005527020$70$1.3K

    Showing 1–10 of 21

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…70$30$1.6K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…10$100$1.2K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…50$20$990
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.10$70$830
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…90$10$770
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.20$40$690
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.30$10$150
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.10$10$80
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…10$10$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.2182201,140$70$213.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.212220980$80$210.3K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…122130300$70$75.1K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…102140300$40$41.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…250330810$10$29.7K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…8090170$30$23.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…2422901,120$1$20.3K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.132150200$10$13K
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.2230120$10$4.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Jeffrey BahrWIInternal Medicine Physician$3.1M$356.4K
    Rahul SawlaniWIDiagnostic Radiology Physician$329.3K$29.7K
    Prakash ShahWICardiovascular Disease Physician$341K$15.1K
    Steven KenzerWIRheumatology Physician$269.6K$0
    Sarah ReimerWIDiagnostic Radiology Physician$234.1K$0
    Vikram NangiaWIClinical Cardiac Electrophysiology Physician$211.8K$0
    Mack KarnesWIDiagnostic Radiology Physician$207.2K$150
    Ali KhanWIInterventional Cardiology Physician$202.5K$0
    Harsh ShahWIDiagnostic Radiology Physician$92.2K$107.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcfi Fiscal AgentWIComprehensive Outpatient Rehabilitation Facility (CORF)$0$16.9M
    City Of MilwaukeeWILand Ambulance$440.6K$11.4M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$10.4M
    Milwaukee Center For IndependenceWIPediatric Registered Nurse$0$10.1M
    Marquette UniversityWIGeneral Practice Dentistry$0$7.6M
    Milwaukee Center For Independence IncWIMental Health Clinic/Center (Including Community Mental Health Center)$0$4.8M
    Penfield Children's Center, Inc.WIClinic/Center$0$2.3M
    Progressive Community Health Centers, Inc.WIFederally Qualified Health Center (FQHC)$0$1.9M
    Carolina ContiWIInternal Medicine Physician$33.5K$426.5K
    Ijaz MalikWICardiovascular Disease Physician$213K$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. Wisconsin Distribution
    Neil Shah — 4 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Neil Shah — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin