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NPI 1396067682 · Massapequa Park, NY · Vascular Surgery Physician
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Amit Shah is a vascular surgery physician provider located in Massapequa Park, New York. This profile covers 27 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Amit Shah |
| Address | 450 Sunrise Hwy |
| City | Massapequa Park |
| State | NY |
| ZIP | 11762 |
| Taxonomy | Vascular Surgery Physician |
| NPI Enumerated | February 27, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.6M |
| Medicaid | $74.2K |
Practice profile and service mix: Billing is concentrated in peripheral endovascular procedures — the three Medicare revenue leaders are 37229, 37227, and 37225, which together account for 84.2% of this provider's total Medicare revenue. CPT descriptions and the presence of multiple angiography and intravascular ultrasound codes (for example 37252 and 37253) indicate an interventional vascular surgery focus with on‑table imaging support.
Medicare revenue concentration: This provider reports Total Medicare revenue of $3.6M with the top 3 Medicare codes by revenue accounting for 84.2% of that total, showing heavy dependence on a small set of high‑value endovascular codes. The single largest Medicare line, 37229, generates $1.7M (46.7% of Medicare revenue) and dominates the payer mix within Medicare.
Medicaid revenue and concentration: Total Medicaid revenue is $74.2K and is heavily concentrated as well — the top 3 Medicaid codes by revenue account for 94.2% of the provider’s Medicaid revenue. On Medicaid, 37229 alone represents $57.3K (77.2% of Medicaid revenue), indicating similar procedure mix across payers but at much smaller scale.
Payer mix and scale: The provider’s Medicare revenue ($3.6M) dwarfs Medicaid revenue ($74.2K), so the practice is effectively Medicare‑driven in scale and financial impact while maintaining a modest Medicaid footprint. This distribution suggests operational capacity and referral patterns are primarily aligned with Medicare beneficiaries.
Competitive standing — Medicare national picture: For key Medicare codes this provider ranks near the top nationally: 37229 ranks #12 of 603 (98th percentile, notably above typical national volume), 37227 ranks #20 of 363 (95th percentile), and 37225 ranks #22 of 715 (97th percentile). Those high percentiles indicate the provider is a major national volume participant for core peripheral vascular intervention codes rather than a modest local operator.
Competitive standing — imaging and procedure intensity: Several imaging and support codes are extreme or notable outliers nationally, reflecting an imaging‑intensive interventional practice — for example 37252 ranks #19 of 1088 (98th percentile; extreme outlier) and 76937 ranks #49 of 12234 (100th percentile; extreme outlier). High ranks on both diagnostic/interpretive imaging (e.g., 75625 at #10 of 1610, 99th percentile) and intraprocedural ultrasound suggest a procedure suite with routine use of intravascular imaging and radiologic interpretation.
Operational implications — sedation and anesthesia support: The practice reports high counts for monitored sedation codes (99152 at 279 Medicare claims and 265 Medicaid claims), indicating frequent use of moderate sedation during procedures and a workflow that includes an independent trained observer. This supports the characterization of a procedural vascular lab or ambulatory interventional setting with consistent sedation processes.
Tenure and stability: The provider’s NPI was enumerated 2010-02-27 (~16 years ago), reflecting a long tenure in the market. Coupled with the high national percentiles on core endovascular codes, the billing pattern is consistent with an established vascular surgery practice with sustained procedural volume over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 220 | $7,670 | $1.7M |
| 37227 | N/A | 70 | $10,290 | $741.1K |
| 37225 | N/A | 120 | $5,190 | $607K |
| 37252 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 280 | $920 | $255.5K |
| 37253 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 360 | $160 | $58.2K |
| 36200 | In this procedure, the provider inserts a catheter into a distal artery and then into the aorta. He uses a needle and inserts a guidewire into the needle. The provider performs the procedure for… | 130 | $290 | $38.2K |
| 36140 | Code 36140 is used to report introduction of a needle or intracatheter into an upper or lower extremity artery for injection purposes. | 150 | $250 | $36K |
| 75710 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 200 | $140 | $28.3K |
| 36247 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 40 | $690 | $24.2K |
| 75625 | In this procedure, the provider performs imaging supervision and interpretation for abdominal aortography with serialography. Report this code to represent only imaging supervision and interpretation… | 160 | $110 | $17.5K |
Showing 1–10 of 27
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37229 | 1 | 50 | 30 | $7,190 | $395.3K |
| 37227 | 3 | 30 | 30 | $9,400 | $328.9K |
| 37225 | 3 | 50 | 30 | $4,570 | $191.9K |
| 36902 | 104 | 110 | 40 | $970 | $88.6K |
| 37252 | 3 | 70 | 30 | $860 | $62.2K |
| 37253 | 8 | 60 | 80 | $160 | $25.1K |
| 99214 | 28,539 | 30,450 | 90 | $100 | $19K |
| 36832 | 10 | 20 | 20 | $880 | $18.5K |
| 36247 | 16 | 60 | 30 | $420 | $15.1K |
| 36821 | 12 | 30 | 20 | $640 | $12.8K |
Showing 1–10 of 27
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 50 | $1,150 | $57.3K |
| 37252 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 80 | $130 | $10.5K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 270 | $10 | $2.1K |
| 75625 | In this procedure, the provider performs imaging supervision and interpretation for abdominal aortography with serialography. Report this code to represent only imaging supervision and interpretation… | 80 | $10 | $1K |
| 99213 | The 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… | 40 | $30 | $1K |
| 99153 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice… | 180 | $1 | $540 |
| 76937 | The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures. | 90 | $10 | $470 |
| 99212 | The 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,… | 50 | $10 | $470 |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 10 | $30 | $420 |
| 75710 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 30 | $20 | $410 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 15,310 | 19,110 | 360 | $70 | $321K |
| 99212 | The 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,… | 3,888 | 5,420 | 210 | $70 | $154.3K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 1,137 | 1,260 | 110 | $80 | $100.2K |
| 37229 | N/A | 6 | 20 | 30 | $1,020 | $63.2K |
| 76937 | The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures. | 34 | 80 | 70 | $70 | $14.8K |
| 37252 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 10 | 30 | 60 | $100 | $14.6K |
| 75710 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 19 | 30 | 60 | $50 | $8.9K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 90 | 300 | 100 | $10 | $4.9K |
| 75625 | In this procedure, the provider performs imaging supervision and interpretation for abdominal aortography with serialography. Report this code to represent only imaging supervision and interpretation… | 4 | 10 | 60 | $20 | $2.3K |
| 99153 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice… | 23 | 70 | 70 | $10 | $1.6K |
Other providers in the same ZIP code as Amit Shah, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Psb | NY | Home Health Agency | $0 | $49M |
| Vladislav Beylik | NY | Occupational Therapist | $210.1K | $153.2K |
| Ashraf Toma | NY | Anesthesiology Physician | $20.5K | $0 |
| Nicholas Roth | NY | Physician Assistant | $930 | $0 |
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