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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJuliana Shah
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    Juliana Shah — Billing Profile & Reimbursement Data

    NPI 1407211287 · Waukesha, WI · Adult Health Nurse Practitioner

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    Juliana Shah is a adult health nurse practitioner provider located in Waukesha, Wisconsin. This profile covers 15 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
    OrganizationJuliana Shah
    Address20800 Swenson Dr Ste 175
    CityWaukesha
    StateWI
    ZIP53186
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedDecember 22, 2015

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

    Payer SourceTotal Paid
    Medicare$15.5K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…110$70$8.3K
    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…50$40$2.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.110$10$860
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…100$10$780
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…10$40$510
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.70$10$370
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…70$10$370
    84460The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…70$10$370
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.70$10$350
    85651The lab analyst performs the typical manual erythrocyte sedimentation rate test using whole blood she places in a slender tube. She records the distance in millimeters that the erythrocytes or red…70$1$280

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,6549,80080$70$9.2K
    8005331345040$10$6.3K
    992134,9569,38060$50$4.7K
    2061076281040$40$3.1K
    8502514687030$10$2.4K
    364158112,30070$10$2.3K
    86140369050$10$1.5K
    82040204070$1$1.1K
    84450337050$10$860
    8415561050$1$760

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Douglas HempelWIRheumatology Physician$1.9M$0
    John AlbertWIRheumatology Physician$1.2M$0
    Mark PearsonWIRheumatology Physician$972.6K$0
    Carly SkamraWIRheumatology Physician$943.5K$0
    Kurt OelkeWIRheumatology Physician$794.2K$0
    Farrukh PashaWIRheumatology Physician$314.9K$0
    Suhail HameedWIRheumatology Physician$302.5K$0
    Nicole JodatWIMedical Physician Assistant$114.1K$0
    Jonathan KushiWIRheumatology Physician$66.8K$0
    Taraneh MehraniWIRheumatology Physician$34K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grace MachiWIOrthodontics and Dentofacial Orthopedics Dentistry$0$5.5M
    Kci Usa, Inc.WIDurable Medical Equipment & Medical Supplies$0$4.8M
    Oak Medical ScWIInternal Medicine Physician$0$4M
    Waukesha School DistrictWILocal Education Agency (LEA)$0$3.3M
    Lss Aspen Center LLCWISubstance Abuse Rehabilitation Facility$0$2.9M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$2.5M
    Lincare Inc.WIDurable Medical Equipment & Medical Supplies$0$1.6M
    Matt Talbot Recovery Services, IncWISubstance Abuse Rehabilitation Facility$0$1.3M
    Loganathan ElangovanWINephrology Physician$642.5K$0
    Aswin KumarWIDiagnostic Radiology Physician$387K$100

    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
    Juliana Shah — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin